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Organization Active NPI

Central la State Hospital

  • Psychiatric Hospital
  • Pineville, LA
National Provider Identifier
1215033535
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
217 Issued in LA
Legal business name
CENTRAL LA STATE HOSPITAL
Practice address
6250 Esler Field Road
Pineville, LA 71360
Phone
(318) 484-6200
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Authorized official

Name
Celeste Gauthier
Title
Hospital Administrator
Phone
(318) 484-6200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 217 LA Primary
Psychiatric Hospital 283Q00000X

Addresses

Primary practice location

6250 Esler Field Road
Pineville, LA 71360

Mailing address

PO Box 5031
Pineville, LA 71361-5031
Phone (318) 484-6200

Other practice location 1

242 W Shamrock Ave
Pineville, LA 71360
Phone (318) 484-6200

Other identifiers 1

IdentifierTypeStateIssuer
1710555MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101222000888 LA Part A Provider - Hospital 4981689833 Practice locations: Pineville, LA

Hospital certification: CCN 194025

Legal name
CENTRAL LA STATE HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Mar 4, 1988
Last certification
Oct 19, 2024
Beds
116
Ownership / control type
State
Organization structure
OtherNon-profit
Enrollment address
6250D Esler Field Road
Pineville, LA 71360
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Central Louisiana State HospitalCCN 194025
Type
Psychiatric
Ownership
Government - State
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
Central la State Hospital6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Nancy Brown Individual W-2 Managing EmployeeAd; May 11, 2026
Joy Biro Individual W-2 Managing EmployeeMental Hospital Associate Administr May 23, 2022

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1215033535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5031",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713615031",
            "telephone_number": "318-484-6200",
            "fax_number": "318-484-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6250 ESLER FIELD ROAD",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "71360",
            "telephone_number": "318-484-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "242 W Shamrock Ave",
            "address_purpose": "LOCATION",
            "city": "Pineville",
            "state": "LA",
            "postal_code": "71360",
            "country_code": "US",
            "telephone_number": "318-484-6200",
            "fax_number": "318-484-6879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTRAL LA STATE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "GAUTHIER",
        "authorized_official_first_name": "CELESTE",
        "authorized_official_title_or_position": "HOSPITAL ADMINISTRATOR",
        "authorized_official_telephone_number": "318-484-6200"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "LA",
            "license": "217",
            "primary": true
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710555",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, LA

Sources for this page

Verify at the official NPI Registry.