NPIMap

Organization Active NPI

Marillac Community Health Centers

Doing business as DCHC - St. Stephen Catholic School

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
National Provider Identifier
1346942786
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MARILLAC COMMUNITY HEALTH CENTERS
Doing business as
DCHC - St. Stephen Catholic School
Practice address
1025 Napoleon Ave
New Orleans, LA 70115-2818
Phone
(504) 891-1927
NPI assigned
Mar 20, 2023
Last updated
Mar 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Authorized official

Name
Tanyelle Oatis-Gaskew
Title
Lead Credentialing Specialist
Phone
(504) 212-9546

Specialties & licenses 1

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

Addresses

Primary practice location

1025 Napoleon Ave
New Orleans, LA 70115-2818

Mailing address

3201 S Carrollton Ave FL 3
New Orleans, LA 70118-4307
Phone (504) 212-9546

Other names 1

  • DCHC - St. Stephen Catholic School Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250320000371 LA Part A Provider - Federally Qualified Health Center (FQHC) 3678755535 Practice locations: New Orleans, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346942786. Details of each certification follow.

Federally qualified health center certification: CCN 711121

Legal name
MARILLAC COMMUNITY HEALTH CENTERS
Doing business as
DEPAUL COMMUNITY HEALTH CENTERS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 5, 2025
Last certification
Mar 5, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
1025 Napoleon Ave
New Orleans, LA 70115-2818

National Provider Directory

National Provider Directory
Tax ID family
Marillac Comm HLTH Centers70 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Ellen Kron Individual Other Jan 1, 2019
Wendy Rios-Wood Individual W-2 Managing EmployeeCredentialing Specialist Aug 1, 2022
Michael Deyoung Individual Other Jan 1, 2019
Roderic Teamer Individual Other Jan 1, 2019
Ronald Carrere Individual Other Jan 1, 2019
Sarah Moody-Thomas Individual Other Jan 1, 2019
Flori Hicks Individual Other Jan 1, 2019
Stephanie Navarre Individual Other Jan 1, 2019
Marjorie Hebert Individual Other Jan 1, 2019
Catherine Kelly Individual Other Jan 1, 2019
Anna Garner Individual Other Jan 1, 2019
Michael Griffin Individual W-2 Managing EmployeeCeo/President Jan 1, 2017
Robert Angelico Individual Other Jan 1, 2019
Jedidah Jackson Individual Other Jan 1, 2019

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Depaul Community Health CentersNew Orleans, LA, CCN 191974 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 15, 2010

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1346942786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 S CARROLLTON AVE FL 3",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701184307",
            "telephone_number": "504-212-9546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 NAPOLEON AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701152818",
            "telephone_number": "504-891-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARILLAC COMMUNITY HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "OATIS-GASKEW",
        "authorized_official_first_name": "TANYELLE",
        "authorized_official_title_or_position": "LEAD CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "504-212-9546"
    },
    "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": "DCHC - St. Stephen Catholic School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.