NPIMap

Organization Active NPI

Access Health Louisiana

Doing business as Haynes Academy SBHC

  • Federally Qualified Health Center (FQHC)
  • Metairie, LA
National Provider Identifier
1386274181
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
ACCESS HEALTH LOUISIANA
Doing business as
Haynes Academy SBHC
Practice address
4301 Grace King PL
Metairie, LA 70002-3125
Phone
(866) 530-6111
NPI assigned
Jan 21, 2020
Last updated
Jul 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Authorized official

Name
Mark Keiser
Title
Ceo
Phone
(866) 530-6111

Specialties & licenses 1

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

Addresses

Primary practice location

4301 Grace King PL
Metairie, LA 70002-3125

Mailing address

2900 Indiana Ave
Kenner, LA 70065-4605
Phone (504) 575-3712

Other names 1

  • Haynes Academy SBHC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200629000379 LA Part A Provider - Federally Qualified Health Center (FQHC) 3678484276 Practice locations: Metairie, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386274181. Details of each certification follow.

Federally qualified health center certification: CCN 191035

Legal name
ACCESS HEALTH LOUISIANA
Doing business as
HAYNES ACADEMY SBHC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 26, 2020
Last certification
Jun 26, 2020
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Incorporated
Apr 1, 2003 in LA
Enrollment address
4301 Grace King PL
Metairie, LA 70002-3125

National Provider Directory

National Provider Directory
Tax ID family
St Charles Community Health Center Inc89 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

Locations

4301 Grace King Pl
Metairie, LA 70002
Phone (504) 561-3508

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
Peter Torsch Individual Corporate Director Mar 25, 2016
Germaine L Robottom Individual Corporate Officer Apr 23, 2015
Estelle Alfortish Individual Corporate Officer Feb 23, 2017
Gaynell Alexander-Coleman Individual Corporate Officer Jan 1, 2006
Brooks Trotter Individual Corporate Officer Mar 1, 2003
Jesse Babin Individual Corporate Director Apr 23, 2024
Mark Francis Keiser Individual Corporate Director Apr 1, 2003
Sandra Zimmer Individual Corporate Officer Oct 25, 2018
Billy Raymond Individual Corporate Officer Apr 24, 2025
John Cressend Schonberg Individual Corporate Officer Apr 1, 2003
James G Comeaux Individual W-2 Managing Employee Jan 1, 2006
Timothy J. Vial Individual Corporate Officer Apr 1, 2003

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
St James Alternative School SBHCVacherie, LA, CCN 191087 Federally qualified health center Operational/Managerial Control Apr 1, 2003
Kenner Community Health CenterKenner, LA, CCN 191096 Federally qualified health center Operational/Managerial Control Apr 1, 2003
Luling Elementary School SBHCLuling, LA, CCN 191100 Federally qualified health center Operational/Managerial Control Apr 1, 2003
Destrehan HS SBHCDestrehan, LA, CCN 191104 Federally qualified health center Operational/Managerial Control Apr 1, 2003

Practitioners & affiliated clinicians

Practitioners 34

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.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1386274181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 INDIANA AVE",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700654605",
            "telephone_number": "504-575-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 GRACE KING PL",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700023125",
            "telephone_number": "866-530-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS HEALTH LOUISIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "KEISER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "866-530-6111"
    },
    "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": "Haynes Academy SBHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.