Organization Active NPI

Oceans Behavioral Hospital of Lafayette LLC

  • Psychiatric Hospital
  • Broussard, LA
National Provider Identifier
1164518312
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
548 Issued in LA
Legal business name
OCEANS BEHAVIORAL HOSPITAL OF LAFAYETTE LLC
Practice address
420 Albertson Pkwy
Broussard, LA 70518-4968
Phone
(337) 237-6444
Fax
(337) 839-9099
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stuart Archer
Title
C.E.O.
Phone
(972) 464-0022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 548 LA Primary

Addresses

Primary practice location

420 Albertson Pkwy
Broussard, LA 70518-4968

Mailing address

3905 Hedgcoxe Rd Unit 250249
Plano, TX 75025-0840
Phone (972) 464-0022

Other identifiers 1

IdentifierTypeStateIssuer
1704717MedicaidLA

Other names 1

  • Oceans Hospital of Broussard Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041019001348 LA Part A Provider - Hospital 1254392640 Practice locations: Broussard, LA; Lafayette, LA

Hospital certification: CCN 194073

Legal name
OCEANS BEHAVIORAL HOSPITAL OF LAFAYETTE LLC
Doing business as
OCEANS HOSPITAL BROUSSARD
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Jan 5, 2005
Last certification
Dec 6, 2024
Beds
38
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
310 Youngsville Hwy
Lafayette, LA 70508-4524
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

Care Compare: Hospital

Medicare Care Compare
Listed as
Oceans Hospital of BroussardCCN 194073
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D1058828Oceans Behavioral Hospital of Lafayette420 Albertson Pkwy, Broussard, LA 70518Certificate of waiverSep 17, 2026

National Provider Directory

National Provider Directory

Locations

216 Saint Landry St
Lafayette, LA 70506
Phone (337) 453-3050

420 Albertsons Pkwy
Dallas, TX 75320

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Oceans Midco, Inc. Organization, Waltham, MA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2022 100%
Oceans Topco, Inc. Organization, Waltham, MA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2022 100%
Oceans Ultimate Holdco, LP Organization, Waltham, MA 5% Or Greater Indirect Ownership Interest Feb 1, 2022 100%
Oceans Ultimate Holdco GP, LLC Organization, Waltham, MA LLC, For-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2022 1%
Wasque Partners II Spe, LP Organization, West Palm Beach, FL 5% Or Greater Indirect Ownership Interest Feb 1, 2022 10.23%
Webster Oceans Co-Investment Fund, LP Organization, Waltham, MA 5% Or Greater Indirect Ownership Interest Feb 1, 2022 32.73%
Oceans Acquisition Inc Organization, Plano, TX LLC 5% Or Greater Direct Ownership Interest Dec 27, 2012 100%
Operational/Managerial Control Jan 1, 2016
Webster Equity Partners V, LP Organization, Waltham, MA 5% Or Greater Indirect Ownership Interest Feb 1, 2022 51.14%
Stuart L Archer Individual Corporate DirectorCeo Nov 17, 2014
Operational/Managerial ControlCeo Jan 1, 2016
Laura F Tarantino Individual Corporate OfficerEvp,General Counsel,Compliance O Feb 23, 2015
Oceans Buyer, Inc. Organization, Waltham, MA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2022 100%

Facilities with the same owner 29

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 29

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1164518312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 HEDGCOXE RD UNIT 250249",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750250840",
            "telephone_number": "972-464-0022",
            "fax_number": "972-464-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 ALBERTSON PKWY",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705184968",
            "telephone_number": "337-237-6444",
            "fax_number": "337-839-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANS BEHAVIORAL HOSPITAL OF LAFAYETTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "ARCHER",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "972-464-0022"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "LA",
            "license": "548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1704717",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oceans Hospital of Broussard",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oceans Hospital of Broussard",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Broussard, LA

Sources for this page

Verify at the official NPI Registry.