Marillac Community Health Centers

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

MARILLAC COMMUNITY HEALTH CENTERS

Doing business as

DePaul Community Health Centers-Our Lady of Perpetual Help

Practice address

531 Williams Blvd
Kenner, LA 70062-7633

Phone

(504) 207-3064

Fax

(504) 282-2213

NPI assigned

Sep 8, 2020

Organization subpart

No

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

Authorized official

Name

Michael Griffn

Title

Ceo

Phone

(504) 207-3060

Specialties & licenses 1

Addresses

Other names 1

• DePaul Community Health Centers-Our Lady of Perpetual Help Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Federally qualified health center certification: CCN 191053

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

Oct 28, 2020

Last certification

Oct 28, 2020

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 19, 2020 in LA

Enrollment address

531 Williams Blvd
Kenner, LA 70062-7633

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.

All facility ownership & control disclosures 1

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

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1669086690",
    "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": "531 WILLIAMS BLVD",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700627633",
            "telephone_number": "504-207-3064",
            "fax_number": "504-282-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARILLAC COMMUNITY HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-08",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "GRIFFN",
        "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-Our Lady of Perpetual Help",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DePaul Community Health Centers-Our Lady of Perpetual Help",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hung Mai, AU.D.
• Quynh Minh Mai, MD
• Wagih R Mando, M.D
• Zoie Marie Manuel, MS, CCC-SLP
• Marillac Community Health Centers (Daughters of Charity Health Center-Kenner)
• Marillac Community Health Centers (Daughters of Charity Health Centers)
• Melody Marks, LPCS
• Kenyada Marshall
• Marilyn Kristel Marshall, M.B.B.S.
• Carol M. Mason, MD

• Federally Qualified Health Center (FQHC) in Kenner, LA
• Providers in Kenner, LA by specialty
• Federally Qualified Health Center (FQHC) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.