Organization Active NPI

Audubon Behavioral Healthcare of Longview, LLC

Doing business as Oceans Behavioral Hospital of Longview

  • Psychiatric Hospital
  • Longview, TX
National Provider Identifier
1306146733
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
AUDUBON BEHAVIORAL HEALTHCARE OF LONGVIEW, LLC
Doing business as
Oceans Behavioral Hospital of Longview
Practice address
615 Clinic Dr
Longview, TX 75605-5172
Phone
(318) 797-6785
Fax
(318) 797-6986
NPI assigned
Nov 2, 2010
Last updated
Dec 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Authorized official

Name
Stuart Archer
Title
Ceo
Phone
(972) 464-0022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X NU Primary

Addresses

Primary practice location

615 Clinic Dr
Longview, TX 75605-5172

Mailing address

3905 Hedgcoxe Rd Unit 250249
Plano, TX 75025-0840
Phone (972) 464-0022

Other identifiers 1

IdentifierTypeStateIssuer
100106OtherTXSTATE LICENSE

Other names 1

  • Oceans Behavioral Hospital of Longview Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110902000301 TX Part A Provider - Hospital 5092985838 Practice locations: Longview, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306146733. Details of each certification follow.

Hospital certification: CCN 454117

Legal name
AUDUBON BEHAVIORAL HEALTHCARE OF LONGVIEW LLC
Doing business as
OCEANS BEHAVIORAL HOSPITAL OF LONGVIEW
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Mar 22, 2012
Last certification
Apr 2, 2026
Beds
24
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
in TX
Enrollment address
615 Clinic Dr
Longview, TX 75605-5172
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

Care Compare: Hospital

Medicare Care Compare
Listed as
Oceans Behavioral Hospital of LongviewCCN 454117 · All quality measures
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2035606Audubon Behavioral Healthcare of Longview, LLC615 Clinic Dr, Longview, TX 75605Certificate of waiverJan 19, 2028

National Provider Directory

National Provider Directory

Locations

100 W Hawkins Pkwy
Ste D
Longview, TX 75605
Phone (903) 212-2930

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Oceans Midco, Inc. Organization, Waltham, MA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2022 100%
Oceans Topco, Inc. Organization, Waltham, MA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2022 100%
Oceans Ultimate Holdco, LP Organization, Waltham, MA 5% Or Greater Indirect Ownership Interest Feb 1, 2022 100%
Oceans Ultimate Holdco GP, LLC Organization, Waltham, MA LLC, For-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2022 1%
Wasque Partners II Spe, LP Organization, West Palm Beach, FL For-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2022 10.23%
Webster Oceans Co-Investment Fund, LP Organization, Waltham, MA 5% Or Greater Indirect Ownership Interest Feb 1, 2022 32.73%
Stuart L Archer Individual Corporate OfficerCeo Nov 17, 2014
Corporate DirectorCeo Nov 17, 2014
Operational/Managerial ControlCeo Nov 17, 2014
Laura F Tarantino Individual Corporate OfficerEvp / General Counsel Feb 23, 2015
Operational/Managerial ControlEvp - General Counsel Nov 1, 2019
Oceans Acquisitions Inc Organization, Plano, TX Corporation, For-profit 5% Or Greater Direct Ownership Interest Nov 9, 2013 100%
Operational/Managerial Control Jan 1, 2016
Webster Equity Partners V, LP Organization, Waltham, MA For-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2022 51.14%
Oceans Buyer, Inc. Organization, Waltham, MA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2022 100%

Facilities with the same owner 42

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

View all 42

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640217600000",
    "number": "1306146733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 HEDGCOXE RD UNIT 250249",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750250840",
            "telephone_number": "972-464-0022",
            "fax_number": "972-464-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 CLINIC DR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055172",
            "telephone_number": "318-797-6785",
            "fax_number": "318-797-6986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDUBON BEHAVIORAL HEALTHCARE OF LONGVIEW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A",
        "authorized_official_last_name": "ARCHER",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-464-0022"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "100106",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oceans Behavioral Hospital of Longview",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oceans Behavioral Hospital of Longview",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.