Organization Active NPI

Oceans Behavioral Hospital of Amarillo, LLC

Doing business as Oceans Behavioral Hospital of Amarillo

  • Psychiatric Hospital
  • Amarillo, TX
National Provider Identifier
1366080525
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
OCEANS BEHAVIORAL HOSPITAL OF AMARILLO, LLC
Doing business as
Oceans Behavioral Hospital of Amarillo
Practice address
7501 Wallace Blvd Ste 200
Amarillo, TX 79124-2150
Phone
(806) 310-2205
NPI assigned
Dec 18, 2019
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 Primary

Addresses

Primary practice location

7501 Wallace Blvd Ste 200
Amarillo, TX 79124-2150

Mailing address

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

Other names 1

  • Oceans Behavioral Hospital of Amarillo Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201221000079 TX Part A Provider - Hospital 9638581408 Practice locations: Amarillo, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366080525. Details of each certification follow.

Hospital certification: CCN 454154

Legal name
OCEANS BEHAVIORAL HOSPITAL OF AMARILLO, LLC
Doing business as
OCEANS BEHAVIORAL HOSPITAL OF AMARILLO
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Mar 16, 2021
Last certification
Aug 3, 2023
Beds
28
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Aug 12, 2019 in TX
Enrollment address
7501 Wallace Blvd
Ste 200
Amarillo, TX 79124-2150
Other Hospital Practice Location
Hospital subgroups
Psychiatric

Care Compare: Hospital

Medicare Care Compare
Listed as
Oceans Behavioral Hospital of AmarilloCCN 454154 · 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
45D2208688Oceans Behavioral Hospital of Amarillo7501 Wallace Blvd, Suite 200, Amarillo, TX 79124Certificate of waiverJan 6, 2027

National Provider Directory

National Provider Directory

Locations

7501 Wallace Blvd
Fl 2
Amarillo, TX 79124

7501 Wallace Blvd
Ste 200
Amarillo, TX 79124
Phone (806) 310-2205

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 5% Or Greater Indirect Ownership Interest Feb 1, 2022 100%
Oceans Topco, Inc. Organization, Waltham, MA Corporation 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 5% Or Greater Indirect Ownership Interest Feb 1, 2022 100%
Wasque Partners II Spe, LP Organization, West Palm Beach, FL 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%
Oceans Acquisition Inc Organization, Plano, TX For-profit 5% Or Greater Direct Ownership Interest Aug 12, 2019 100%
Operational/Managerial Control Aug 12, 2019
Stuart L Archer Individual Corporate OfficerCeo Aug 12, 2019
Corporate DirectorCeo Aug 12, 2019
Operational/Managerial ControlCeo Aug 12, 2019
Laura F Tarantino Individual Corporate OfficerEvp/General Counsel Aug 12, 2019
Corporate DirectorEvp/General Counsel Aug 12, 2019
W-2 Managing EmployeeEvp/General Counsel Aug 12, 2019
Operational/Managerial ControlEvp/General Counsel Aug 12, 2019
Webster Equity Partners V, LP Organization, West Palm Beach, FL 5% Or Greater Indirect Ownership Interest Feb 1, 2022 51.14%
Oceans Buyer, Inc. Organization, Waltham, MA Corporation 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 3

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": "1576627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1366080525",
    "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": "7501 WALLACE BLVD STE 200",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791242150",
            "telephone_number": "806-310-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANS BEHAVIORAL HOSPITAL OF AMARILLO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-18",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oceans Behavioral Hospital of Amarillo",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oceans Behavioral Hospital of Amarillo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.