NPIMap

Organization Active NPI

Start Corporation

Doing business as Start Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Houma, LA
National Provider Identifier
1902260136
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
START CORPORATION
Doing business as
Start Community Health Center
Practice address
420 Magnolia St
Houma, LA 70360-6304
Phone
(985) 879-3966
Fax
(985) 872-4473
NPI assigned
Apr 13, 2016
Last updated
Apr 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Authorized official

Name
Mr. Casey R Guidry, LCSWNPI 1669743597
Title
Executive Director
Phone
(985) 879-3967

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

420 Magnolia St
Houma, LA 70360-6304

Mailing address

420 Magnolia St
Houma, LA 70360-6304
Phone (985) 879-3967

Other names 1

  • Start Community Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160509000800 LA Part A Provider - Federally Qualified Health Center (FQHC) 0749403517 Practice locations: Houma, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902260136. Details of each certification follow.

Federally qualified health center certification: CCN 191951

Legal name
START CORPORATION
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 11, 2016
Last certification
May 11, 2016
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Incorporated
May 1, 1999 in LA
Enrollment address
420 Magnolia St
Start Community Health Center
Houma, LA 70360-6304

Other NPIs with the same Medicare PAC ID 7

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

National Provider Directory

National Provider Directory
Tax ID family
Start Corporation12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Molly Blakey Individual Corporate OfficerBoard Member Jun 30, 2005 11.1%
Ann Marmande Individual Corporate OfficerBoard Member Jun 30, 2011 11.1%
Angela Hebert Individual W-2 Managing EmployeeFinancial Controller Nov 2, 2015
Casey R Guidry Individual Corporate DirectorExecutive Director Feb 20, 2002

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Start CorporationHouma, LA, CCN 191002 Federally qualified health center 5% Or Greater Direct Ownership Interest Nov 1, 2015

Owned or controlled facilities with NPI records 1

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

  • Start Corporation

    dba Start Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Houma, LA
    • NPI 1831692540

    5% Or Greater Direct Ownership Interest

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 11

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": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1902260136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 MAGNOLIA ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703606304",
            "telephone_number": "985-879-3967",
            "fax_number": "985-872-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 MAGNOLIA ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703606304",
            "telephone_number": "985-879-3966",
            "fax_number": "985-872-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "START CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "GUIDRY",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "985-879-3967",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "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": "Start Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houma, LA

Sources for this page

Verify at the official NPI Registry.