NPIMap

Organization Active NPI

Start Corporation

  • Federally Qualified Health Center (FQHC)
  • Mandeville, LA
National Provider Identifier
1346712957
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
START CORPORATION
Practice address
2150 General Pershing St
Mandeville, LA 70448-5125
Phone
(985) 333-2020
Fax
(985) 851-0162
NPI assigned
Dec 20, 2018
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Catherine Broussard
Title
Compliance Coordinator
Phone
(859) 333-2018

Owned or controlled facilities with NPI records 1

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

Other NPIs with the same Medicare PAC ID 7

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

Practitioners 95

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

View all 95

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
19D2279832Start Community Health Center2150 General Pershing St, Mandeville, LA 70448Certificate of waiverApr 9, 2027

Medicare participation

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

Federally qualified health center certification: CCN 191120

Medicare enrollment files
Legal name
START CORPORATION
Doing business as
START COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 20, 2023
Last certification
Jun 20, 2023
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 19, 1985 in LA
Enrollment address
2150 General Pershing St
Mandeville, LA 70448-5125

All disclosed owners & managing parties 12

Medicare enrollment files

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

NameRoleSinceShare
Karen O Schilling Individual Other Jul 1, 2022
Marilyn Shwartz Individual Other Jul 1, 2020
Molly Blakey Individual OtherPresident Jul 1, 2020
Dana Coleman Individual Other Jul 1, 2022
Ann Marmande Individual Other Jul 1, 2020
Catherine Broussard Individual W-2 Managing EmployeeVice President of Compliance Oct 9, 2017
Lea Matlow Individual Other Jul 1, 2022
Trudy Franks Individual W-2 Managing EmployeeVice President of FQHC Aug 1, 2016
Milly Dampeer Individual OtherBoard Member Jul 1, 2020
Casey R Guidry Individual 5% Or Greater Direct Ownership InterestPresident and Ceo Feb 1, 2006
Kathy Kliebert Individual Other Jul 1, 2022
Alma Washington Individual Other Jul 1, 2020

All facility ownership & control disclosures 1

Medicare enrollment files

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

FacilityTypeRoleSince
Start CorporationHouma, LA, CCN 191002 Federally qualified health center 5% Or Greater Direct Ownership Interest Nov 1, 2015

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20230630001109 LA Part a Provider - Federally Qualified Health Center (FQHC) 0749403517 Practice locations: Mandeville, LA

National Provider Directory

National Provider Directory

Locations

2150 General Pershing St
Mandeville, LA 70448
Phone (985) 674-5155

23251 S Robin Rd
Ste 103
Mandeville, LA 70448
Phone (985) 900-1626

23251 S Robin Rd
Mandeville, LA 70448
Phone (985) 333-2020

2407 Baronne St
Fl 2
New Orleans, LA 70113
Phone (504) 332-8962

102 W 2nd St
Thibodaux, LA 70301
Phone (985) 446-5244

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

2150 General Pershing St
Mandeville, LA 70448-5125

Mailing address

PO Box 165
Houma, LA 70361-0165
Phone (985) 333-2018

Other names 1

NPPES NPI Registry
  • Start Community Health Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 8, 2023.

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1346712957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 165",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703610165",
            "telephone_number": "985-333-2018",
            "fax_number": "985-851-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 GENERAL PERSHING ST",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704485125",
            "telephone_number": "985-333-2020",
            "fax_number": "985-851-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "START CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-20",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "BROUSSARD",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "COMPLIANCE COORDINATOR",
        "authorized_official_telephone_number": "859-333-2018"
    },
    "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": "Start Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mandeville, LA

Sources for this page

Verify at the official NPI Registry.