Organization Active NPI

Oceans Behavioral Hospital of Jackson, LLC

Doing business as Oceans Behavioral Hospital of Jackson

  • Psychiatric Hospital
  • Jackson, MS
National Provider Identifier
1760230759
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
OCEANS BEHAVIORAL HOSPITAL OF JACKSON, LLC
Doing business as
Oceans Behavioral Hospital of Jackson
Practice address
2969 Curran Dr N
Jackson, MS 39216-4121
Phone
(601) 714-8141
NPI assigned
May 7, 2024
Last updated
May 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Authorized official

Name
Laura Tarantino
Title
Evp
Phone
(972) 464-0022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

2969 Curran Dr N
Jackson, MS 39216-4121

Mailing address

3905 Hedgcoxe Rd Unit 250249
Plano, TX 75025-0840
Phone (972) 464-0022

Other names 1

  • Oceans Behavioral Hospital of Jackson Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241126001666 MS Part A Provider - Hospital 7911432075 Practice locations: Jackson, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1760230759. Details of each certification follow.

Hospital certification: CCN 254014

Legal name
OCEANS BEHAVIORAL HOSPITAL OF JACKSON, LLC
Doing business as
OCEANS BEHAVIORAL HOSPITAL OF JACKSON
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Feb 11, 2025
Last certification
Feb 11, 2025
Beds
77
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
2969 Curran Dr N
BLDG a
Jackson, MS 39216-4121
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

Care Compare: Hospital

Medicare Care Compare
Listed as
Oceans Behavioral Hospital of JacksonCCN 254014 · All quality measures
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2307869Oceans Behavioral Hospital of Jackson, LLC2969 North Curran Drive, Building a, Jackson, MS 39216Certificate of waiverJul 15, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Oceans Midco, Inc. Organization, Waltham, MA Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 3, 2024 100%
Oceans Topco, Inc. Organization, Waltham, MA Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 3, 2024 100%
Oceans Ultimate Holdco, LP Organization, Waltham, MA Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 3, 2024 100%
Oceans Ultimate Holdco GP, LLC Organization, Waltham, MA LLC 5% Or Greater Indirect Ownership Interest Dec 3, 2024 1%
Wasque Partners II Spe, LP Organization, West Palm Beach, FL 5% Or Greater Indirect Ownership Interest Dec 3, 2024 10.23%
Webster Oceans Co-Investment Fund, LP Organization, Waltham, MA 5% Or Greater Indirect Ownership Interest Dec 3, 2024 32.73%
Oceans Acquisition Inc Organization, Plano, TX Corporation, Chain home office, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 3, 2024 100%
Stuart L Archer Individual Corporate OfficerCeo Dec 3, 2024
W-2 Managing EmployeeCeo Dec 3, 2024
Laura F Tarantino Individual Corporate OfficerEvp Dec 3, 2024 100%
Webster Equity Partners V, LP Organization, West Palm Beach, FL 5% Or Greater Indirect Ownership Interest Dec 3, 2024 51.14%
Oceans Buyer, Inc. Organization, Waltham, MA Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 3, 2024 100%

Facilities with the same owner 42

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

View all 42

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1760230759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 HEDGCOXE RD UNIT 250249",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750250840",
            "telephone_number": "972-464-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2969 CURRAN DR N",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164121",
            "telephone_number": "601-714-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANS BEHAVIORAL HOSPITAL OF JACKSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "TARANTINO",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "972-464-0022"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oceans Behavioral Hospital of Jackson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.