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Organization Active NPI

Beacon Behavioral Hospital - New Orleans LLC

  • Psychiatric Hospital
  • New Orleans, LA
National Provider Identifier
1760437131
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
692 Issued in LA
Legal business name
BEACON BEHAVIORAL HOSPITAL - NEW ORLEANS LLC
Practice address
14500 Hayne Blvd
New Orleans, LA 70128-1751
Phone
(504) 210-0460
Fax
(504) 210-0970
NPI assigned
May 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Authorized official

Name
Phillip Sean Wendell
Title
Ceo
Phone
(225) 810-4040

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Substance Use Disorder Rehabilitation Hospital Unit 276400000X
Psychiatric Hospital 283Q00000X 692 LA Primary

Addresses

Primary practice location

14500 Hayne Blvd
New Orleans, LA 70128-1751

Mailing address

14707 Perkins Rd
Baton Rouge, LA 70810-2216
Phone (225) 810-4040

Other practice location 1

4201 Woodland Dr
New Orleans, LA 70131-7339
Phone (504) 210-0460

Other practice location 2

3200 Ridgelake Dr Ste 100
Metairie, LA 70002-4959
Phone (504) 581-4333

Other practice location 3

2130 1st St
Slidell, LA 70458-3432
Phone (985) 607-0290

Other identifiers 1

IdentifierTypeStateIssuer
1455181MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110128000865 LA Part A Provider - Hospital 2769661297 Practice locations: Metairie, LA; New Orleans, LA; Slidell, LA

Hospital certification: CCN 194084

Legal name
BEACON BEHAVIORAL HOSPITAL-NEW ORLEANS LLC
Doing business as
BEACON BEHAVIORAL HOSPITAL - NEW ORLEANS LLC
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Mar 9, 2006
Last certification
Jul 9, 2024
Beds
34
Ownership / control type
Private (for profit)
Most recent change of ownership
Dec 5, 2010 (1 total)
Organization structure
LLCProprietary
Incorporated
Dec 4, 2020 in LA
Enrollment address
14500 Hayne Boulevard
New Orleans, LA 70128-1751
Other Hospital Practice Location
Hospital subgroups
Psychiatric

Care Compare: Hospital

Medicare Care Compare
Listed as
Beacon Behavioral Hospital- New Orleans, LLCCCN 194084
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
Beacon Behavioral Hospital-New Orleans LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

4601 Bluebonnet Blvd
Ste B
Baton Rouge, LA 70809

3001 Ridgelake Dr
Metairie, LA 70002
Phone (504) 302-6100

2130 1st St
Slidell, LA 70458
Phone (985) 607-0290

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Phillip Sean Wendell Individual 5% Or Greater Indirect Ownership InterestCeo Dec 4, 2020 7%
Corporate DirectorCeo Dec 5, 2011 100%
W-2 Managing Employee Dec 5, 2011
Beacon Hospital Management, LLC Organization, Baton Rouge, LA LLC 5% Or Greater Direct Ownership Interest Dec 4, 2020 100%
Operational/Managerial Control Dec 5, 2010

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1760437131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14707 PERKINS RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708102216",
            "telephone_number": "225-810-4040",
            "fax_number": "225-810-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14500 HAYNE BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701281751",
            "telephone_number": "504-210-0460",
            "fax_number": "504-210-0970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4201 Woodland Dr",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701317339",
            "country_code": "US",
            "telephone_number": "504-210-0460",
            "fax_number": "504-210-0970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 Ridgelake Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700024959",
            "country_code": "US",
            "telephone_number": "504-581-4333",
            "fax_number": "504-581-2812",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2130 1st St",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704583432",
            "country_code": "US",
            "telephone_number": "985-607-0290",
            "fax_number": "985-641-7887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEACON BEHAVIORAL HOSPITAL - NEW ORLEANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "WENDELL",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "SEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-810-4040"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "LA",
            "license": "692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1455181",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.