University Healthcare System, L.C.
Organization Active NPI Psychiatric Hospital Unit · Covington, LA
NPI 1790722825 · NPPES record last updated Dec 29, 2022
Key facts
- NPI
- 1790722825
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric Hospital Unit 273R00000X
- Legal business name
- UNIVERSITY HEALTHCARE SYSTEM, L.C.
- Practice address
- 5025 Keystone Blvd
Suite 300
Covington, LA 70433-7517 - Phone
- (985) 867-3930
- Fax
- (985) 867-4449
- NPI assigned
- May 31, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- UNIVERSITY HEALTHCARE SYSTEM, L.C.
Authorized official
- Name
- Ashley H McGaha
- Title
- Cfo
- Phone
- (504) 988-6849
Owners & managing parties with NPI records 4
-
Patrice Delafontaine, M.D.
-
Aaron S. Dumont, M.D.
Other NPIs on the same Medicare enrollment 3
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 14
Related certifications (CCN) 4
Facilities with the same owner 12
Practitioners 2
-
Jose Mario Rodriguez, M.D.
Affiliated clinicians 1,185
-
Ramsy Assaf Abdelghani, M.D.
-
Lamia Abisamra, MD
-
Scott J. Acosta, MD
-
Farhad X Aduli, MD
-
Shradha Ahuja, MD
-
Richard A Airhart, M.D.
-
Kristi Alcina, NP
-
William W Alden, M.D.
-
Marie Alexander, MS, MSPAS, PA
-
Samuel M Alexander, M.D.
-
Murtuza J Ali, M.D.
-
Michael Joseph Alline, M.D.
-
Sandra R Almerico, APRN - ANP
-
Arnold B. Alper Jr., M.D.
-
Flor Alvarado, MD
-
Sonia M Alvarez, M.D.
-
Asif Hussain Anwar, M.D.
-
Anjuman - Ara, MD
-
Frank J Arena, M.D.
Medicare Care Compare: Hospital
- Listed as
- East Jefferson General Hospital
- Overall star rating
- ★★☆☆☆ 2 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D1021830 | Lakeview Regional Behavioral Health-Lab | Certificate of waiver | Feb 1, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in LA
Hospital certification: CCN 190176
- Legal name
- UNIVERSITY HEALTHCARE SYSTEM, L.C.
- Doing business as
- EAST JEFFERSON GENERAL HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Dec 6, 1976
- Last certification
- Mar 1, 2025
- Beds
- 665 (641 certified)
- Ownership / control type
- Private (not for profit)
- Most recent change of ownership
- Jan 1, 2023 (4 total)
- Organization structure
- LLC · Non-profit
- Incorporated
- Feb 2, 1995 in LA
- Enrollment address
- 4200 Houma Blvd
Metairie, LA 70006-2970 - Hospital subgroups
- General, Acute care, Psychiatric, Rehabilitation, Other
Hospital certification: CCN 19S176
- Legal name
- UNIVERSITY HEALTHCARE SYSTEM, L.C.
- Doing business as
- EAST JEFFERSON GENERAL HOSPITAL
- Organization structure
- LLC · Non-profit
- Incorporated
- Feb 2, 1995 in LA
- Enrollment address
- 4200 Houma Blvd
Metairie, LA 70006-2970 - Hospital subgroups
- Psychiatric
All disclosed owners & managing parties 12
| Name | Role | Since | Share |
|---|---|---|---|
| Bradley Sinclair |
Corporate Officer |
Mar 15, 2024 | |
| W-2 Managing Employee | Mar 15, 2024 | ||
| Operational/Managerial Control | Mar 15, 2024 | ||
| W-2 Managing Employee |
Mar 15, 2024 | ||
| Louisiana Children'S Medical Center |
5% Or Greater Direct Ownership Interest | Jan 1, 2023 | 100% |
| Operational/Managerial Control | Jan 1, 2023 | ||
| 5% Or Greater Direct Ownership Interest | Jan 1, 2023 | ||
| John F Heaton |
Corporate Director | Jan 1, 2023 | |
| Patrice Delafontaine |
Corporate Director | Jan 17, 2023 | |
| Maurice Lagarde |
Operational/Managerial Control | Jan 17, 2023 | |
| Gregory C Feirn |
Corporate Director | Jan 1, 2023 | |
| Gabriella Pridjian |
Corporate Director | Jan 17, 2023 | |
| Lotuce Hamm |
Corporate Director | Jan 17, 2023 | |
| Gregory a Nielsen |
Corporate Officer | Jan 1, 2023 | |
| W-2 Managing Employee |
Jan 1, 2023 | ||
| Operational/Managerial Control | Jan 1, 2023 | ||
| Corporate Director | Jan 1, 2023 | ||
| Operational/Managerial Control |
Jan 1, 2023 | ||
| Aaron Dumont |
Corporate Director | Jan 17, 2023 | |
| Patrick Norton |
Corporate Director | Jan 17, 2023 | |
| Joann L Kunkel |
Corporate Director | Jan 17, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080103000478 | LA | Part a Provider - Hospital | 3375457435 |
3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
| O20080507000293 | LA | Part a Provider - Hospital | 3375457435 | Practice locations: Metairie, LA; Covington, LA |
National Provider Directory
- Tax ID family
- Tulane University Hospi
- Part of
- Tulane University Hospi
Locations
201 Greenbrier Blvd
Covington, LA 70433
Phone (866) 652-3940
4421 Conlin St
Ste 101
Metairie, LA 70006
Phone (504) 455-2002
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | Yes |
Addresses
Primary practice location
5025 Keystone Blvd
Suite 300
Covington, LA 70433-7517
Mailing address
5025 Keystone Blvd
Suite 300
Covington, LA 70433-7517
Phone (985) 867-3930
Other names
- Lakeview Regional Behavioral Health
Other providers in Covington, LA
- Two Eagles N Spear LLC
- Albert I Tydings
- Ulrich a Starke MD LLC
- Carrie Marie Umberger
- Demeka Underwood
- University Healthcare Systems, LC
- Kristen Unkauf
- Urologic Surgery Associates, Inc.
- Uzima Counseling and Wellness LLC
- Jennifer S Vallelungo
All providers in Covington, LA · Psychiatric Hospital Unit in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.