NPIMap

Organization Active NPI

Compass Behavioral Center, LLC

  • Psychiatric Hospital
  • Crowley, LA
National Provider Identifier
1174513394
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
COMPASS BEHAVIORAL CENTER, LLC
Practice address
1526 N Avenue I
Crowley, LA 70526-2434
Phone
(337) 788-3380
Fax
(337) 788-3381
NPI assigned
Oct 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2010

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

Authorized official

Name
Anne Dill, R.N.
Title
Corporate Compliance Officer
Phone
(337) 788-3380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

1526 N Avenue I
Crowley, LA 70526-2434

Mailing address

1526 N Avenue I
Crowley, LA 70526-2434
Phone (337) 788-3380

Other identifiers 2

IdentifierTypeStateIssuer
1704351MedicaidLA
586OtherLADHH

Other names 1

  • Crowley Psychiatric Hospital, LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050917000031 LA Part A Provider - Hospital 3779516935 Practice locations: Crowley, LA; Lafayette, LA

Hospital certification: CCN 194085

Legal name
COMPASS BEHAVIORAL CENTER LLC
Doing business as
COMPASS BEHAVIORAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Apr 18, 2006
Last certification
May 12, 2021
Beds
24
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Jun 30, 2005 in LA
Enrollment address
312 Youngsville Hwy
Lafayette, LA 70508-4524
Other Hospital Practice Location
Hospital subgroups
Psychiatric

Care Compare: Hospital

Medicare Care Compare
Listed as
Compass Behavioral Center of LafayetteCCN 194085 · All quality measures
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
Crowley Psychiatric Hospital4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Cullen Holdings LLC Organization, Crowley, LA LLC 5% Or Greater Direct Ownership Interest Dec 31, 2015 100%
Lynn F Cullen Individual 5% Or Greater Indirect Ownership Interest Dec 31, 2015 10%
Allison C Kidder Individual W-2 Managing EmployeeChief Quality Officer Jun 1, 2012
Mark J Cullen Individual 5% Or Greater Indirect Ownership Interest Dec 31, 2015 71%
Corporate OfficerChief Executive Officer Dec 31, 2015
Corporate Director Sep 17, 2005

Facilities with the same owner 4

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

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 6

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": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285286400000",
    "number": "1174513394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 N AVENUE I",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705262434",
            "telephone_number": "337-788-3380",
            "fax_number": "337-788-3381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 N AVENUE I",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705262434",
            "telephone_number": "337-788-3380",
            "fax_number": "337-788-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS BEHAVIORAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2010-09-24",
        "status": "A",
        "authorized_official_last_name": "DILL",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "CORPORATE COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "337-788-3380",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1704351",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHH",
            "identifier": "586",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crowley Psychiatric Hospital, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Crowley, LA

Sources for this page

Verify at the official NPI Registry.