Organization Active NPI

City of New Orleans

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
National Provider Identifier
1265101281
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CITY OF NEW ORLEANS
Practice address
2239 Poydras St
New Orleans, LA 70119-7561
Phone
(504) 658-2785
NPI assigned
Sep 13, 2021
Organization subpart
Yes
Parent organization
CITY OF NEW ORLEANSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Authorized official

Name
Jennifer Lucy AvegnoNPI 1326048174
Title
Director of Health
Phone
(504) 658-2518

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

2239 Poydras St
New Orleans, LA 70119-7561

Mailing address

2222 Simon Bolivar Ave FL 2
New Orleans, LA 70113-1460
Phone (504) 658-2785

Other names 1

  • Healthcare for the Homeless Ozman Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220421002503 LA Part A Provider - Federally Qualified Health Center (FQHC) 5092731505 Practice locations: New Orleans, LA

Federally qualified health center certification: CCN 191093

Legal name
CITY OF NEW ORLEANS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 5, 2022
Last certification
May 5, 2022
Ownership / control type
For profit – corporation
Organization structure
GovernmentNon-profit
Enrollment address
2239 Poydras St
New Orleans, LA 70119-7561

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory
Tax ID family
City of N O Dept of Hea17 organizations share this tax ID, including this one
Part of
City of N O Dept of Hea

Other organizations with this tax ID 16

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

View all 16

Locations

2222 Simon Bolivar Ave
Ste 200
New Orleans, LA 70113
Phone (504) 528-3750

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Jennifer L Avegno Individual Corporate DirectorDirector of Health Jul 20, 2018
City of New Orleans Organization, New Orleans, LA 5% Or Greater Direct Ownership Interest Feb 1, 2021 100%
Ragan P Collins Individual W-2 Managing EmployeeExecutive Director Mar 2, 2015

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Health Care for the HomelessNew Orleans, LA, CCN 191802 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Oct 18, 1988
Health Care for the Homeless Arthur Monday ClinicNew Orleans, LA, CCN 191032 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Mar 21, 2019

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Practitioners 5

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": "1631491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1265101281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 SIMON BOLIVAR AVE FL 2",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701131460",
            "telephone_number": "504-658-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2239 POYDRAS ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701197561",
            "telephone_number": "504-658-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF NEW ORLEANS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF NEW ORLEANS",
        "enumeration_date": "2021-09-13",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "AVEGNO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LUCY",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTH",
        "authorized_official_telephone_number": "504-658-2518"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthcare for the Homeless Ozman",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Healthcare for the Homeless Ozman",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.