NPIMap

Organization Active NPI

Acadia-St. Landry Hospital Service District

Doing business as Acadia-St. Landry Hospital

  • Psychiatric Hospital Unit
  • Church Point, LA
National Provider Identifier
1811917255
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
106 Issued in LA
Legal business name
ACADIA-ST. LANDRY HOSPITAL SERVICE DISTRICT
Doing business as
Acadia-St. Landry Hospital
Practice address
810 S Broadway St
Church Point, LA 70525-4402
Phone
(337) 684-5435
Fax
(337) 684-1408
NPI assigned
Jul 20, 2006
Last updated
Jul 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Authorized official

Name
Mr. Michael J Lejeune III
Title
Ceo/Administrator
Phone
(337) 684-4277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 106 LA Primary

Addresses

Primary practice location

810 S Broadway St
Church Point, LA 70525-4402

Mailing address

810 S Broadway St
Church Point, LA 70525-4402
Phone (337) 684-5435

Other identifiers 2

IdentifierTypeStateIssuer
61017OtherLAPSYCH
1705284MedicaidLA

Other names 1

  • ACADIA-ST. LANDRY HOSPITAL Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100604000615 LA Part A Provider - Critical Access Hospital 3476458092 Practice locations: Church Point, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811917255. Details of each certification follow.

Hospital certification: CCN 19M319

Legal name
ACADIA-ST. LANDRY HOSPITAL SERVICE DISTRICT
Doing business as
ACADIA ST. LANDRY HOSPITAL
Organization structure
OtherProprietary
Enrollment address
810 S Broadway St
Church Point, LA 70525-4402
Hospital Psychiatric Unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

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

National Provider Directory

National Provider Directory
Tax ID family
Acadia St Landry Hospit9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Acadia-St. Landry Hospital Service District Organization, Church Point, LA Operational/Managerial Control Jul 25, 2016 100%
Dawn M White Individual Corporate DirectorDirector of Human Resources Oct 10, 2022
W-2 Managing EmployeeDirector of Human Resources Oct 10, 2022
Michael Lejeune Individual Corporate OfficerCeo/Administrator Jul 25, 2022
W-2 Managing EmployeeCeo/Administrator Jul 25, 2022

Owners & managing parties with NPI records 4

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

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Acadia St. Landry HospitalChurch Point, LA, CCN 191319 Hospital Operational/Managerial Control (100%) Jun 23, 2016
Acadia St. Landry HospitalChurch Point, LA, CCN 19Z319 Hospital Operational/Managerial Control Nov 14, 2005
Acadia-St. Landry Hospital Service DistrictChurch Point, LA, CCN 198528 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Mar 18, 2020
Jun 23, 2016

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 3

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

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": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1811917255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 S BROADWAY ST",
            "city": "CHURCH POINT",
            "state": "LA",
            "postal_code": "705254402",
            "telephone_number": "337-684-5435",
            "fax_number": "337-684-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 S BROADWAY ST",
            "city": "CHURCH POINT",
            "state": "LA",
            "postal_code": "705254402",
            "telephone_number": "337-684-5435",
            "fax_number": "337-684-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIA-ST. LANDRY HOSPITAL SERVICE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "LEJEUNE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "337-684-4277",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "LA",
            "license": "106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCH",
            "identifier": "61017",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1705284",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACADIA-ST. LANDRY HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ACADIA-ST. LANDRY HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Church Point, LA

Sources for this page

Verify at the official NPI Registry.