NPIMap

Organization Active NPI

Ochsner Bayou, LLC

Doing business as Ochsner St. Anne General Hospital

  • Psychiatric Hospital Unit
  • Raceland, LA
National Provider Identifier
1871648766
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
594 Issued in LA
Legal business name
OCHSNER BAYOU, LLC
Doing business as
Ochsner St. Anne General Hospital
Practice address
4608 Highway 1
Raceland, LA 70394-2623
Phone
(985) 537-6841
Fax
(985) 537-8273
NPI assigned
Jan 24, 2007
Last updated
May 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Authorized official

Name
Mr. Fernis Leblanc
Title
Ceo
Phone
(985) 537-2684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 594 LA Primary

Addresses

Primary practice location

4608 Highway 1
Raceland, LA 70394-2623

Mailing address

4608 Highway 1
Raceland, LA 70394-2623
Phone (985) 537-6841

Other identifiers 1

IdentifierTypeStateIssuer
1706540MedicaidLA

Other names 1

  • Ochsner St. Anne General Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080222000183 LA Part A Provider - Critical Access Hospital 0244242840 Receives reassigned benefits from 2 practitioners
Practice locations: Raceland, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871648766. Details of each certification follow.

Hospital certification: CCN 19M324

Legal name
OCHSNER BAYOU LLC
Doing business as
OCHSNER ST. ANNE GENERAL HOSPITAL
Organization structure
LLCNon-profit
Incorporated
Mar 3, 2006 in LA
Enrollment address
4608 Highway 1
Raceland, LA 70394-2623
Hospital Psychiatric Unit

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

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory
Tax ID family
Ochsner Bayou LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

139 Twin Oaks Dr
Raceland, LA 70394
Phone (985) 537-2666

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Ochsner Bayou LLC Organization, New Orleans, LA Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Mar 3, 2006
Operational/Managerial Control Mar 3, 2006
Michael F Hulefeld Individual Corporate OfficerPresident, Coo Nov 2, 2022
OtherChain Home Office Administrator Jan 1, 2018
Peter C November Individual Corporate OfficerChief Executive Officer Nov 1, 2022
James M Molloy Individual Corporate OfficerEvp - Cfo & Treasurer Jan 1, 2024
Ochsner Clinic Foundation Organization, New Orleans, LA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest May 1, 2006
Operational/Managerial Control May 1, 2006 100%
Other Jan 1, 2018
Fernis J Leblanc Individual Corporate OfficerInterim Chief Executive Officer Nov 30, 2022
W-2 Managing EmployeeInterim Chief Executive Officer Nov 30, 2022
Operational/Managerial ControlInterim Chief Executive Officer Nov 30, 2022

Owners & managing parties with NPI records 4

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

  • Ochsner Bayou LLC

    dba Ochsner St. Anne General Hospital

    • Critical Access Hospital
    • Raceland, LA
    • NPI 1396761805

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Ochsner Bayou, LLC

    dba Ochsner St Anne General Hospital

    • Critical Access Hospital
    • Raceland, LA
    • NPI 1720133234

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Ochsner Clinic Foundation
    • Medicare Defined Swing Bed Hospital Unit
    • Jefferson, LA
    • NPI 1033196456

    5% Or Greater Indirect Ownership Interest, Operational/Managerial Control, Other

    CMS ownership
  • Ochsner Clinic Foundation

    dba Ochsner Medical Center Acute

    • General Acute Care Hospital
    • New Orleans, LA
    • NPI 1811973100

    5% Or Greater Indirect Ownership Interest, Operational/Managerial Control, Other

    CMS ownership

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Ochsner St. Anne General HospitalRaceland, LA, CCN 19Z324 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Mar 3, 2006
Mar 3, 2006

Owned or controlled facilities with NPI records 1

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

  • Ochsner Bayou, LLC

    dba Ochsner St Anne General Hospital

    • Critical Access Hospital
    • Raceland, LA
    • NPI 1720133234

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 74

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

View all 74

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1871648766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4608 HIGHWAY 1",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "703942623",
            "telephone_number": "985-537-6841",
            "fax_number": "985-537-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4608 HIGHWAY 1",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "703942623",
            "telephone_number": "985-537-6841",
            "fax_number": "985-537-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCHSNER BAYOU, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "LEBLANC",
        "authorized_official_first_name": "FERNIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "985-537-2684",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "LA",
            "license": "594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1706540",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ochsner St. Anne General Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ochsner St. Anne General Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raceland, LA

Sources for this page

Verify at the official NPI Registry.