NPIMap

Organization Active NPI

Lafourche Parish Hospital Service District No. 1

Doing business as Lady of the Sea Medical Clinic - Cut Off

  • Rural Health Clinic/Center
  • Cut Off, LA
National Provider Identifier
1902846603
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
LAFOURCHE PARISH HOSPITAL SERVICE DISTRICT NO. 1
Doing business as
Lady of the Sea Medical Clinic - Cut Off
Practice address
144 W 134TH PL
Cut Off, LA 70345-4128
Phone
(985) 632-6233
Fax
(985) 632-7526
NPI assigned
Jun 8, 2006
Last updated
Jan 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Authorized official

Name
Mr. Tad A Lafont, RN
Title
Chief Clinic Officer
Phone
(985) 632-6401

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary
Family Medicine Physician 207Q00000X

Addresses

Primary practice location

144 W 134TH PL
Cut Off, LA 70345-4128

Mailing address

144 W 134TH PL
Cut Off, LA 70345-4128
Phone (985) 632-6233

Other identifiers 3

IdentifierTypeStateIssuer
193451OtherLAMEDICARE PART A
5CJ01OtherLAMEDICARE PART B
1442861MedicaidLA

Other names 1

  • Lady of the Sea Medical Clinic - Cut Off Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040330001560 LA Part B Supplier - Clinic/Group Practice 2264342229 Receives reassigned benefits from 15 practitioners
Practice locations: Cut Off, LA
O20080109000808 LA Part A Provider - Rural Health Clinic 2264342229 Practice locations: Cut Off, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902846603. Details of each certification follow.

Rural health clinic certification: CCN 193451

Legal name
LAFOURCHE PARISH HOSPITAL SERVICE DISTRICT NO 1
Doing business as
LADY OF THE SEA MEDICAL CLINIC - CUT OFF
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Mar 24, 2004
Last certification
Apr 26, 2023
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Enrollment address
144 West 134TH Place
Lady of the Sea Medical Clinic - Cut Off
Cut Off, LA 70345-4143
Related CCNs
191325

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

Other NPIs with the same Medicare PAC ID 6

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D1012070Lady of the Sea Medical Clinic - Cut Off144 West 134TH Place, Cut Off, LA 70345Provider-performed microscopyApr 29, 2027

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

144 W 134th Pl
Cut Off, LA 70345
Phone (985) 325-9750

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Christy Chabert Individual W-2 Managing EmployeeVice President of Revenue Cycle Jan 19, 2001
Lafourche Parish Hospital Service District No 1 Organization, Cut Off, LA Other Apr 18, 2013
Tyler James Duplantis Individual Corporate OfficerChief Financial Officer May 4, 2023
W-2 Managing EmployeeChief Financial Officer May 4, 2023
Operational/Managerial ControlChief Financial Officer May 4, 2023
Lloyd Joseph Guidry Individual Corporate OfficerChief Executive Officer Jun 1, 2023 100%
W-2 Managing EmployeeChief Executive Officer Jun 1, 2023 100%
Operational/Managerial ControlChief Executive Officer Jun 1, 2023 100%
Tad Lafont Individual W-2 Managing EmployeeChief Operations Officer Apr 18, 2013

Owners & managing parties with NPI records 6

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
Lady of the Sea General HospitalCut Off, LA, CCN 191325 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Lady of the Sea General HospitalCut Off, LA, CCN 19Z325 Hospital 5% Or Greater Direct Ownership Interest Jan 1, 1966
Lady of the Sea Medical Clinic - LaroseLarose, LA, CCN 193453 Rural health clinic Other Apr 18, 2013

Owned or controlled facilities with NPI records 3

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

Practitioners & affiliated clinicians

Practitioners 19

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 19

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1902846603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 W 134TH PL",
            "city": "CUT OFF",
            "state": "LA",
            "postal_code": "703454128",
            "telephone_number": "985-632-6233",
            "fax_number": "985-632-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 W 134TH PL",
            "city": "CUT OFF",
            "state": "LA",
            "postal_code": "703454128",
            "telephone_number": "985-632-6233",
            "fax_number": "985-632-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFOURCHE PARISH HOSPITAL SERVICE DISTRICT NO. 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "LAFONT",
        "authorized_official_first_name": "TAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF CLINIC OFFICER",
        "authorized_official_telephone_number": "985-632-6401",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART A",
            "identifier": "193451",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "5CJ01",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1442861",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lady of the Sea Medical Clinic - Cut Off",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lady of the Sea Medical Clinic - Cut Off",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cut Off, LA

Sources for this page

Verify at the official NPI Registry.