NPIMap

Organization Active NPI

Marillac Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
National Provider Identifier
1780935973
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MARILLAC COMMUNITY HEALTH CENTERS
Practice address
1030 Lesseps St
New Orleans, LA 70117-4736
Phone
(504) 941-6041
NPI assigned
Sep 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Authorized official

Name
Michael Griffin
Title
President/Ceo
Phone
(504) 212-9502

Specialties & licenses 1

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

Addresses

Primary practice location

1030 Lesseps St
New Orleans, LA 70117-4736

Mailing address

3201 S Carrollton Ave
New Orleans, LA 70118-4307
Phone (504) 207-3060

Other names 1

  • Daughters of Charity Health Center-St. Cecelia Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110314000767 LA Part B Supplier - Clinic/Group Practice 3678755535 Receives reassigned benefits from 128 practitioners
21 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kenner, LA; New Orleans, LA; Metairie, LA; Harvey, LA
O20130614000075 LA Part A Provider - Federally Qualified Health Center (FQHC) 3678755535 Practice locations: New Orleans, LA

Federally qualified health center certification: CCN 191906

Legal name
MARILLAC COMMUNITY HEALTH CENTERS
Doing business as
DEPAUL COMMUNITY HEALTH CENTERS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 21, 2013
Last certification
Jun 21, 2013
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 14, 2010 in LA
Enrollment address
1030 Lesseps St
New Orleans, LA 70117-4736

Other NPIs on the same Medicare enrollment 21

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

View all 21

National Provider Directory

National Provider Directory
Tax ID family
Marillac Comm HLTH Centers69 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1301 Whitney Ave
Ste 220
Gretna, LA 70056

1908 Short St
Kenner, LA 70062

111 N Causeway Blvd
Ste B
Metairie, LA 70001

2013 General Meyer Ave
New Orleans, LA 70114
Phone (504) 227-3800

4710 Painters St
New Orleans, LA 70122

3128 Constance St
New Orleans, LA 70115
Phone (504) 324-7100

3700 Tall Pines Dr
New Orleans, LA 70131
Phone (504) 302-7109

2801 General Degaulle Dr
Ste B
New Orleans, LA 70114
Phone (504) 362-8930

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Ellen Kron Individual Corporate DirectorDirector Sep 15, 2020
Marie Sedgwick Individual Corporate DirectorDirector Sep 15, 2020
Michael Todd Individual Corporate DirectorDirector Sep 15, 2020
Roderic Teamer Individual Corporate OfficerTreasurer Sep 15, 2020
Sam Leblanc Individual Corporate OfficerChair Sep 15, 2020
Therese Badon Individual Corporate OfficerVice Chair Sep 15, 2020
Stephanie Navarre Individual Corporate OfficerSecretary Sep 15, 2020
Michael Griffin Individual Corporate OfficerPresident/Ceo Sep 15, 2020
W-2 Managing Employee Jun 1, 2012
Robert Angelico Individual Corporate DirectorDirector Sep 15, 2020

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Depaul Community Health CentersNew Orleans, LA, CCN 191974 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 15, 2010

Practitioners & affiliated clinicians

Practitioners 103

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

View all 103

NPI Registry JSON

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1780935973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 S CARROLLTON AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701184307",
            "telephone_number": "504-207-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 LESSEPS ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701174736",
            "telephone_number": "504-941-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARILLAC COMMUNITY HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2022-11-22",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "504-212-9502"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daughters of Charity Health Center-St. Cecelia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Daughters of Charity Health Center-St. Cecelia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.