DLP Maria Parham Medical Center LLC
Organization Active NPI Psychiatric Hospital Unit · Louisburg, NC
NPI 1689166605 · NPPES record last updated Apr 29, 2024
Key facts
- NPI
- 1689166605
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric Hospital Unit 273R00000X
- Legal business name
- DLP MARIA PARHAM MEDICAL CENTER LLC
- Practice address
- 100 Hospital Dr
Louisburg, NC 27549-2256 - Phone
- (252) 438-4143
- NPI assigned
- Jun 5, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- DLP MARIA PARHAM MEDICAL CENTER LLC
Authorized official
- Name
- Charlotte Lawrence
- Title
- Secretary
- Phone
- (615) 920-7000
Owners & managing parties with NPI records 1
Owned or controlled facilities with NPI records 4
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 3
Related certifications (CCN) 2
Facilities with the same owner 202
Practitioners 1
Affiliated clinicians 290
-
Tariq Abo-Kamil, MD
-
Richard Lowell Alexander, MD, PHD, MBA
-
Brian Christopher Allen, M.D.
-
Stephany Varela Alva, MHS, PA-C
-
Francis C Aniekwensi, M.D.
-
Michelle Leigh Arroyo, DNP, APRN, FNP-BC
-
Robert B Bell, PA
-
Adam J Bennett, MD
-
Gerald S Bloomfield Jr., M.D.
-
Bryon Boulton, MD
-
Tedric Dale Boyse, M.D.
-
Estena Patricia Bradley, NP- WOMENS HEALTH
-
Vanessa Marie Brosan, FNP-C
-
Jason Stuart Bryant, DNP, FNP, ENP
-
India Green Bynum, CRNA
-
Evan Darcy Cozzens Calabrese, M.D., PH.D.
-
Terri C Capps, CRNA
Medicare Care Compare: Hospital
- Listed as
- Maria Parham Medical Center
- Overall star rating
- ★★☆☆☆ 2 of 5
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2155364 | Maria Parham Franklin | Accreditation | Apr 21, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC
Hospital certification: CCN 340132
- Legal name
- DLP MARIA PARHAM MEDICAL CENTER, LLC
- Doing business as
- MARIA PARHAM HEALTH
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 16, 1966
- Last certification
- Sep 9, 2016
- Beds
- 102
- Ownership / control type
- Private (for profit)
- Most recent change of ownership
- Nov 1, 2011 (2 total)
- Organization structure
- LLC · Proprietary
- Incorporated
- Jun 20, 2011 in DE
- Enrollment address
- 566 Ruin Creek Rd
Henderson, NC 27536-2927 - Hospital subgroups
- Acute care, Rehabilitation unit
Hospital certification: CCN 34S132
- Legal name
- DLP MARIA PARHAM MEDICAL CENTER, LLC
- Doing business as
- MARIA PARHAM HEALTH
- Organization structure
- LLC · Proprietary
- Incorporated
- Jun 20, 2011 in NC
- Enrollment address
- 100 Hospital Dr
Louisburg, NC 27549-2256 - Hospital subgroups
- Psychiatric unit
All disclosed owners & managing parties 23
| Name | Role | Since | Share |
|---|---|---|---|
| Lifepoint Holdings 2 LLC |
5% Or Greater Indirect Ownership Interest | Jan 1, 2014 | 77.6% |
| 5% Or Greater Indirect Ownership Interest | Nov 1, 2011 | 77.6% | |
| Ruth Jones |
Other |
Jan 29, 2019 | |
| David Carver |
Other |
Jan 29, 2019 | |
| DSB Acquisition LLC |
5% Or Greater Indirect Ownership Interest | Nov 16, 2018 | 77.6% |
| Lifepoint Hospitals Holdings LLC |
5% Or Greater Indirect Ownership Interest | Jan 1, 2014 | 77.6% |
| 5% Or Greater Indirect Ownership Interest | Nov 1, 2011 | 77.6% | |
| Elmer B Polite |
Corporate Officer |
Jun 1, 2023 | |
| Other |
Dec 14, 2020 | ||
| Other |
Dec 14, 2020 | ||
| DLP Healthcare LLC |
5% Or Greater Direct Ownership Interest | Nov 1, 2011 | 80% |
| Bertrand Bramlet Beard |
Contracted Managing Employee |
Aug 22, 2016 | |
| Contracted Managing Employee |
Aug 22, 2016 | ||
| Historic Lifepoint Hospitals, LLC |
5% Or Greater Indirect Ownership Interest | Jan 1, 2014 | 77.6% |
| 5% Or Greater Indirect Ownership Interest | Nov 1, 2011 | 77.6% | |
| Lifepoint Health Inc |
5% Or Greater Indirect Ownership Interest | Nov 16, 2018 | 77.6% |
| Donna Peter |
Other |
Apr 21, 2023 | |
| Marcus B Poppell |
Corporate Officer |
Nov 16, 2018 | |
| Henderson/Vance Healthcare, Inc. |
5% Or Greater Direct Ownership Interest | Nov 1, 2011 | 20% |
| Operational/Managerial Control | Nov 1, 2011 | ||
| Woody Caudle |
Other |
Jan 1, 2021 | |
| Charlotte E Lawrence |
Corporate Officer |
Mar 10, 2022 | |
| DLP Partner LLC |
5% Or Greater Indirect Ownership Interest | Jan 1, 2014 | 77.6% |
| 5% Or Greater Indirect Ownership Interest | Nov 1, 2011 | 77.6% | |
| Wilton Drake |
Other |
Oct 19, 2017 | |
| Teresa Williams |
Corporate Director |
May 31, 2024 | |
| John Michael Grooms |
Corporate Officer |
Nov 1, 2016 | |
| Corporate Officer |
Nov 16, 2018 | ||
| Christopher J Monte |
Corporate Officer |
Nov 1, 2011 | |
| Corporate Officer |
Nov 16, 2018 | ||
| Legacy Lifepoint Health LLC |
5% Or Greater Indirect Ownership Interest | Nov 1, 2011 | 77.6% |
| Michael Brafford |
Other |
Oct 1, 2019 | |
| Other |
Oct 1, 2019 | ||
| Robert F Noel |
Other |
Oct 31, 2011 | |
| Other |
Oct 31, 2011 |
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| Maria Parham Women'S Care |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2023 |
| Maria Parham Women'S Care |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2023 |
| Maria Parham Franklin Primary & Women'S Care |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2023 |
| Maria Parham Primary Care |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120130000005 | NC | Part a Provider - Hospital | 3870750193 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Henderson, NC; Louisburg, NC |
| O20190312000762 | NC | Part a Provider - Hospital | 3870750193 |
1 other NPI on this enrollment Practice locations: Louisburg, NC |
National Provider Directory
- Tax ID family
- DLP Maria Parham Medical Center LLC
- Part of
- DLP Maria Parham Medical Center LLC
Locations
100 Hospital Dr
Louisburg, NC 27549
Phone (252) 438-4143
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | Yes |
Addresses
Primary practice location
100 Hospital Dr
Louisburg, NC 27549-2256
Mailing address
330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (615) 920-7000
Other names
- Maria Parham Franklin
Other providers in Louisburg, NC
- Allison Kathryn Dgien
- Gemma Diez-Belano
- Darius Jose Ayala Divina
- Divine Family Care Home
- Divine Family Care Home Inc.
- DLP Maria Parham Physician Practices LLC
- DLP Maria Parham Physician Practices LLC
- DLP Maria Parham Physician Practices LLC
- Neil Peter Dolan
- Marjorie Quiliza Donadio
All providers in Louisburg, NC · Psychiatric Hospital Unit in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.