Organization Active NPI

Louisiana Behavioral Health LLC

  • Psychiatric Hospital
  • Shreveport, LA
National Provider Identifier
1356950398
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
LOUISIANA BEHAVIORAL HEALTH LLC
Practice address
9320 Linwood Ave
Shreveport, LA 71106-7003
Phone
(972) 464-0022
NPI assigned
Jul 27, 2020
Last updated
Sep 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Authorized official

Name
Laura F. Tarantino
Title
Evp/Corporate Counsel
Phone
(972) 464-0022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X NU Primary

Addresses

Primary practice location

9320 Linwood Ave
Shreveport, LA 71106-7003

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210128000867 LA Part A Provider - Hospital 9537573852 Practice locations: Shreveport, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356950398. Details of each certification follow.

Hospital certification: CCN 194116

Legal name
LOUISIANA BEHAVIORAL HEALTH LLC
Doing business as
LOUISIANA BEHAVIORAL HEALTH
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Feb 19, 2021
Last certification
Feb 2, 2024
Beds
89
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
9320 Linwood Ave
Shreveport, LA 71106-7003
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

Care Compare: Hospital

Medicare Care Compare
Listed as
Louisiana Behavioral HealthCCN 194116 · All quality measures
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

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 63%
Oceans Topco, Inc. Organization, Waltham, MA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2022 63%
Oceans Ultimate Holdco, LP Organization, Waltham, MA For-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2022 63%
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 For-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2022 32.73%
Oceans Acquisition Inc Organization, Plano, TX Corporation 5% Or Greater Direct Ownership Interest Jan 20, 2021 63%
Operational/Managerial Control Jan 20, 2021
Stuart L Archer Individual Corporate OfficerC.E.O. Nov 14, 2014
Corporate DirectorC.E.O. Nov 17, 2014
Operational/Managerial ControlC.E.O. Nov 17, 2014
Laura F Tarantino Individual Corporate OfficerEvp, General Counsel Feb 23, 2015
Ochsner Lsu Health System of North Louisiana Organization, Shreveport, LA Non-profit 5% Or Greater Direct Ownership Interest Jan 20, 2021 37%
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 63%

Facilities with the same owner 46

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

View all 46

Practitioners & affiliated clinicians

Practitioners 4

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": "1595808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1356950398",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9320 LINWOOD AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067003",
            "telephone_number": "972-464-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-27",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "TARANTINO",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "EVP/CORPORATE COUNSEL",
        "authorized_official_telephone_number": "972-464-0022"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.