Laurel Oaks Behavioral Health Center Inc

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

Legal business name

LAUREL OAKS BEHAVIORAL HEALTH CENTER INC

Doing business as

Laurel Oaks Behaivoral Health Center
Laurel Oaks Behavioral Health Center

Practice address

700 E Cottonwood Rd
Dothan, AL 36301-3644

Phone

(334) 794-7373

NPI assigned

Jan 9, 2019

Organization subpart

No

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

Authorized official

Name

Steve Filton

Title

Vice President

Phone

(610) 768-3482

Specialties & licenses 2

Addresses

Other names 2

• Laurel Oaks Behaivoral Health Center Doing business as
• Laurel Oaks Behavioral Health Center Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184197493. Details of each certification follow.

• CCN 014013 Hospital · Active · Details

Hospital certification: CCN 014013

Legal name

LAUREL OAKS BEHAVIORAL HEALTH CENTER INC

Doing business as

LAUREL OAKS BEHAVIORAL HEALTH CENTER

Certification status

Active

Provider type (POS)

Hospital – Psychiatric

Participating since

Oct 22, 1998

Last certification

Oct 22, 1998

Beds

24

Ownership / control type

Private (not for profit)

Organization structure

CorporationProprietary

Incorporated

Jan 16, 1998 in DE

Enrollment address

700 East Cottonwood Road
Dothan, AL 36301-3644

Hospital subgroups

Psychiatric

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Laurel Oaks Behavioral Health Center Inc

  • Psychiatric Hospital
  • Dothan, AL
  • NPI 1326078023

  O20060915000267

  Same enrollment

Tax ID family

Laurel Oaks Behaivoral Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Laurel Oaks Behavioral Health Center Inc

  • Psychiatric Hospital
  • Dothan, AL
  • NPI 1326078023
  NPD tax ID

All disclosed owners & managing parties 15

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

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546992000000",
    "number": "1184197493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E COTTONWOOD RD",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013644",
            "telephone_number": "334-794-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E COTTONWOOD RD",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013644",
            "telephone_number": "334-794-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL OAKS BEHAVIORAL HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-01-09",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "610-768-3482"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurel Oaks Behaivoral Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Laurel Oaks Behavioral Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lash Orthospine and Sports LLC
• Dustin Lash, D.O.
• Deana Elizabeth Latham, AU.D.
• Robert Allen Latimer, MD
• Quinton Laudadio
• Laurel Oaks Behavioral Health Center Inc
• Stephen Lavanier, MD
• Christina Lawson, MS, LPC
• Steven B Laye, PA
• Kathy Sawyer Lazenby, RPH

• Psychiatric Hospital in Dothan, AL
• Providers in Dothan, AL by specialty
• Psychiatric Hospital in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.