NPIMap

Organization Active NPI

Our Lady of the Lake Assumption Community Hospital

Doing business as Assumption Community Hospital

  • Rural Health Clinic/Center
  • Napoleonville, LA
National Provider Identifier
1710975545
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
OUR LADY OF THE LAKE ASSUMPTION COMMUNITY HOSPITAL
Doing business as
Assumption Community Hospital
Practice address
135 Highway 402
Napoleonville, LA 70390-2217
Phone
(985) 369-3600
NPI assigned
Oct 6, 2005
Last updated
Nov 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

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

Authorized official

Name
Mrs. Kate P Stewart
Title
Credentialing Manager
Phone
(225) 526-0013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

135 Highway 402
Napoleonville, LA 70390-2217

Mailing address

135 Highway 402
Napoleonville, LA 70390-2217
Phone (985) 369-3600

Other names 1

  • Assumption Community Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100111000388 LA Part A Provider - Rural Health Clinic 3173537248 Practice locations: Napoleonville, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710975545. Details of each certification follow.

Rural health clinic certification: CCN 193426

Legal name
OUR LADY OF THE LAKE ASSUMPTION COMMUNITY HOSPITAL
Doing business as
FMOL HEALTH ASSUMPTION RURAL HEALTH
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 22, 1997
Last certification
Dec 3, 2018
Ownership / control type
2B
Most recent change of ownership
May 25, 2001 (1 total)
Organization structure
CorporationProprietary
Incorporated
Feb 7, 2001 in LA
Enrollment address
135A Highway 402
Napoleonville, LA 70390-2217
Related CCNs
191303

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

135 Highway 402
#A
Napoleonville, LA 70390
Phone (985) 369-1083

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Our Lady of the Lake Hospital Inc Organization, Baton Rouge, LA 5% Or Greater Direct Ownership Interest Dec 22, 1997
Franciscan Missionaries of Our Lady Health System Inc Organization, Baton Rouge, LA 5% Or Greater Direct Ownership Interest Dec 22, 1997
Scott Richard Individual Operational/Managerial Control Jul 1, 2024
Jennifer J Clowers Individual Corporate Officer Aug 1, 2022
W-2 Managing Employee Aug 1, 2022
Fmol-North American Providence Inc Organization, Baton Rouge, LA 5% Or Greater Direct Ownership Interest May 25, 2001

Owners & managing parties with NPI records 6

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

Facilities with the same owner 19

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

View all 19

Practitioners & affiliated clinicians

Practitioners 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1710975545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 HIGHWAY 402",
            "city": "NAPOLEONVILLE",
            "state": "LA",
            "postal_code": "703902217",
            "telephone_number": "985-369-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 HIGHWAY 402",
            "city": "NAPOLEONVILLE",
            "state": "LA",
            "postal_code": "703902217",
            "telephone_number": "985-369-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY OF THE LAKE ASSUMPTION COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "KATE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "225-526-0013",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assumption Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Napoleonville, LA

Sources for this page

Verify at the official NPI Registry.