NPIMap

Organization Active NPI

Marillac Community Health Centers

Doing business as DePaul Community Health Centers-Pierre Capdua Charter School

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
National Provider Identifier
1528673308
Registry record updated Nov 22, 2022
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
DePaul Community Health Centers-Pierre Capdua Charter School
Practice address
5800 Saint Roch Ave
New Orleans, LA 70122-5336
Phone
(504) 207-3064
Fax
(504) 282-2213
NPI assigned
Sep 9, 2020
Last updated
Nov 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Authorized official

Name
Michael Griffin
Title
Ceo
Phone
(504) 207-3060

Specialties & licenses 1

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

Addresses

Primary practice location

5800 Saint Roch Ave
New Orleans, LA 70122-5336

Mailing address

PO Box 13038
New Orleans, LA 70185-3038
Phone (504) 207-3060

Other names 1

  • DePaul Community Health Centers-Pierre Capdua Charter School Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250702000740 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 1528673308. Details of each certification follow.

Federally qualified health center certification: CCN 711838

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
Jul 1, 2025
Last certification
Jul 1, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
5800 Saint Roch Ave
New Orleans, LA 70122-5336

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, 2018
Wendy Rios-Wood Individual W-2 Managing EmployeeDelegated Official Jan 1, 2023
Michael Deyoung Individual Other Jan 1, 2018
Roderic Teamer Individual Other Jan 1, 2018
Ronald Carrere Individual Other Jan 1, 2018
Sarah Moody-Thomas Individual Other Jan 1, 2018
Flori Hicks Individual Other Jan 1, 2018
Stephanie Navarre Individual Other Jan 1, 2018
Marjorie Hebert Individual Other Jan 1, 2018
Catherine Kelly Individual Other Jan 1, 2018
Anna Garner Individual Other Jan 1, 2018
Michael Griffin Individual Corporate OfficerPresident-Ceo Jan 1, 2017
Operational/Managerial ControlPresident-Ceo Jan 1, 2017
Robert Angelico Individual OtherBoard Member Jan 1, 2018
Jedidah Jackson Individual Other Jan 1, 2018

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": "1599609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1528673308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13038",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701853038",
            "telephone_number": "504-207-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 SAINT ROCH AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701225336",
            "telephone_number": "504-207-3064",
            "fax_number": "504-282-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARILLAC COMMUNITY HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-09",
        "last_updated": "2022-11-22",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-207-3060"
    },
    "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": "DePaul Community Health Centers-Pierre Capdua Charter School",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DePaul Community Health Centers-Pierre Capdua Charter School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.