NPIMap

Organization Active NPI

West Jefferson Holdings, LLC

Doing business as West Jefferson Medical Center

  • General Acute Care Hospital
  • Marrero, LA
National Provider Identifier
1265437644
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
236 Issued in LA
Legal business name
WEST JEFFERSON HOLDINGS, LLC
Doing business as
West Jefferson Medical Center
Practice address
1101 Medical Center Blvd
Marrero, LA 70072-3147
Phone
(504) 349-1202
Fax
(504) 349-1334
NPI assigned
Jun 14, 2005
Last updated
Apr 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Authorized official

Name
Mrs. Angela Greener
Title
Sr Dir of Integrated Health MGMT
Phone
(504) 349-6021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 236 LA Primary

Addresses

Primary practice location

1101 Medical Center Blvd
Marrero, LA 70072-3147

Mailing address

1101 Medical Center Blvd
Marrero, LA 70072-3147
Phone (504) 349-1202

Other identifiers 2

IdentifierTypeStateIssuer
1705039MedicaidLA
1732788MedicaidLA

Other names 1

  • West Jefferson Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160114001894 LA Part A Provider - Hospital 4981914934 Practice locations: New Orleans, LA; Metairie, LA; Marrero, LA; Harvey, LA; Luling, LA; Gretna, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265437644. Details of each certification follow.

Hospital certification: CCN 190039

Legal name
WEST JEFFERSON HOLDINGS LLC
Doing business as
WEST JEFFERSON MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Feb 15, 2025
Beds
318
Ownership / control type
Private (not for profit)
Most recent change of ownership
Oct 1, 2015 (1 total)
Organization structure
LLCNon-profit
Enrollment address
1101 Medical Center Boulevard
Marrero, LA 70072-3147
Other Hospital Practice Location
Hospital subgroups
General, Acute care, Psychiatric unit, Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

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
West Jefferson Medical CenterCCN 190039 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
West Jefferson Holdings LLC6 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 16

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

NameRoleSinceShare
Louisiana Children's Medical Center Organization, New Orleans, LA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2015 100%
Other Oct 1, 2015
Timothy P Kerner Individual Corporate DirectorBoard Member Oct 1, 2015
Frank C Divincenti Individual Corporate DirectorBoard Member Oct 1, 2015
Frederic Leclercq Individual Corporate Director May 1, 2024
Chad Miller Individual W-2 Managing EmployeeChief Financial Officer Feb 27, 2023
Operational/Managerial ControlCfo Feb 27, 2023
Scott M Zainey Individual Corporate Director Jan 1, 2025
David F Andignac Individual Corporate DirectorBoard Member Oct 1, 2015
Rachel S Spears Individual Corporate DirectorBoard Member Jan 1, 2021
Garett Christopher May Individual W-2 Managing EmployeeAd; Apr 21, 2025
Operational/Managerial ControlCeo Apr 21, 2025
William a Lazaro Individual Corporate DirectorBoard Member Oct 1, 2015
West Jefferson Holdings LLC Organization, New Orleans, LA Created for acquisition, LLC, Non-profit 5% Or Greater Direct Ownership Interest Oct 1, 2015 100%
Operational/Managerial Control Oct 1, 2015
Gregory C Feirn Individual Corporate OfficerCeo of Louisiana Children's Medi Oct 1, 2015
Corporate DirectorBoard Member Oct 1, 2015
Operational/Managerial ControlCeo - Louisiana Children's Medic Oct 1, 2015
James E Cramond Individual Corporate DirectorBoard Member Oct 1, 2015
Blair Constant Individual Corporate DirectorBoard Member Nov 19, 2021
Harry L Cahill Individual Corporate DirectorBoard Member Oct 1, 2015
Dwayne J Munch Individual Corporate DirectorBoard Member Oct 1, 2015

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
West Jefferson Medical CenterMarrero, LA, CCN 19T039 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Oct 1, 2015
Oct 1, 2015

Owned or controlled facilities with NPI records 1

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

  • West Jefferson Holdings, LLC

    dba West Jefferson Medical Center

    • Rehabilitation Hospital Unit
    • Marrero, LA
    • NPI 1679631402

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 12

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

Practitioners & affiliated clinicians

Practitioners 67

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 67

Affiliated clinicians 484

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 484

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1265437644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MEDICAL CENTER BLVD",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723147",
            "telephone_number": "504-349-1202",
            "fax_number": "504-349-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MEDICAL CENTER BLVD",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723147",
            "telephone_number": "504-349-1202",
            "fax_number": "504-349-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST JEFFERSON HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "GREENER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "SR DIR OF INTEGRATED HEALTH MGMT",
        "authorized_official_telephone_number": "504-349-6021",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "LA",
            "license": "236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1705039",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1732788",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Jefferson Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marrero, LA

Sources for this page

Verify at the official NPI Registry.