NPIMap

Organization Active NPI

City of New Orleans

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
National Provider Identifier
1700358546
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CITY OF NEW ORLEANS
Practice address
1111 Newton St
New Orleans, LA 70114-2500
Phone
(504) 658-2785
Fax
(504) 658-2874
NPI assigned
Dec 18, 2018
Organization subpart
Yes
Parent organization
CITY OF NEW ORLEANS HEALTH CARE FOR THE HOMELESSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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

Authorized official

Name
Ragan Collins
Title
Executive Director
Phone
(504) 658-2787

Specialties & licenses 1

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

Addresses

Primary practice location

1111 Newton St
New Orleans, LA 70114-2500

Mailing address

2222 Simon Bolivar Ave FL 2
New Orleans, LA 70113-1460
Phone (504) 658-2576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110919000202 LA Part B Supplier - Clinic/Group Practice 5092731505 Receives reassigned benefits from 2 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: New Orleans, LA
O20200609001423 LA Part A Provider - Federally Qualified Health Center (FQHC) 5092731505 Practice locations: New Orleans, LA

Federally qualified health center certification: CCN 191032

Legal name
CITY OF NEW ORLEANS
Doing business as
HEALTH CARE FOR THE HOMELESS ARTHUR MONDAY CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 5, 2020
Last certification
Jun 5, 2020
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Enrollment address
1111 Newton St
New Orleans, LA 70114-2500

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
City of N O Dept of Hea17 organizations share this tax ID, including this one
Part of
City of N O Dept of Hea

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jennifer L Avegno Individual Corporate Director Jun 16, 2018
City of New Orleans Organization, New Orleans, LA 5% Or Greater Direct Ownership Interest Mar 21, 2019 100%
Rha'Keisha Wyre Individual W-2 Managing Employee Apr 28, 2025

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Health Care for the HomelessNew Orleans, LA, CCN 191802 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Oct 18, 1988
City of New OrleansNew Orleans, LA, CCN 191093 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2021

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545091200000",
    "number": "1700358546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 SIMON BOLIVAR AVE FL 2",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701131460",
            "telephone_number": "504-658-2576",
            "fax_number": "504-658-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 NEWTON ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701142500",
            "telephone_number": "504-658-2785",
            "fax_number": "504-658-2874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF NEW ORLEANS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF NEW ORLEANS HEALTH CARE FOR THE HOMELESS",
        "enumeration_date": "2018-12-18",
        "last_updated": "2018-12-18",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "RAGAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "504-658-2787"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.