NPIMap

Organization Active NPI

Beacon Behavioral Hospital LLC

  • Psychiatric Hospital
  • Lutcher, LA
National Provider Identifier
1881996940
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
BEACON BEHAVIORAL HOSPITAL LLC
Practice address
2471 Louisiana Ave
Lutcher, LA 70071-5413
Phone
(225) 258-6103
NPI assigned
Nov 23, 2010
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
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 Primary

Addresses

Primary practice location

2471 Louisiana Ave
Lutcher, LA 70071-5413

Mailing address

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

Other practice location 1

10425 Plaza Americana Dr
Baton Rouge, LA 70816-8188
Phone (225) 810-4719

Other practice location 2

42382 Club Deluxe
Suite 34
Hammond, LA 70403
Phone (985) 956-7378

Other identifiers 2

IdentifierTypeStateIssuer
194102OtherMEDICARE
2184164MedicaidLA

Other names 1

  • Beacon Behavioral Outpatient - Lutcher Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110226000127 LA Part A Provider - Hospital 1557542313 Practice locations: Baton Rouge, LA; Hammond, LA; Houma, LA; Lutcher, LA

Hospital certification: CCN 194102

Legal name
BEACON BEHAVIORAL HOSPITAL LLC
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Dec 29, 2011
Last certification
Aug 31, 2024
Beds
24
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Dec 4, 2020 in LA
Enrollment address
2471 Louisiana Ave
Lutcher, LA 70071-5413
Other Hospital Practice Location
Hospital subgroups
Psychiatric

Care Compare: Hospital

Medicare Care Compare
Listed as
Beacon Behavioral Hospital, LLCCCN 194102
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 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.

Locations

5789 Highway 311
Ste 9
Houma, LA 70360
Phone (985) 346-0436

5789 Highway 311
Ste 2
Houma, LA 70360
Phone (985) 346-0436

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 Interest Sep 13, 2010 7%
Corporate OfficerCeo Sep 13, 2010 100%
W-2 Managing Employee Sep 13, 2010
Beacon Hospital Management, LLC Organization, Baton Rouge, LA Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Sep 13, 2010 100%

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.

NPI Registry JSON

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1881996940",
    "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": "2471 LOUISIANA AVE",
            "city": "LUTCHER",
            "state": "LA",
            "postal_code": "700715413",
            "telephone_number": "225-258-6103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10425 Plaza Americana Dr",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708168188",
            "country_code": "US",
            "telephone_number": "225-810-4719",
            "fax_number": "225-810-4722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "42382 Club Deluxe",
            "address_2": "Suite 34",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "70403",
            "country_code": "US",
            "telephone_number": "985-956-7378",
            "fax_number": "985-956-7381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEACON BEHAVIORAL HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-23",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "WENDELL",
        "authorized_official_first_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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "194102",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2184164",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon Behavioral Outpatient - Lutcher",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lutcher, LA

Sources for this page

Verify at the official NPI Registry.