Organization Active NPI

Oceans Behavioral Hospital of Tupelo, LLC

Doing business as Oceans Behavioral Hospital of Tupelo

  • Psychiatric Hospital
  • Tupelo, MS
National Provider Identifier
1972239705
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
OCEANS BEHAVIORAL HOSPITAL OF TUPELO, LLC
Doing business as
Oceans Behavioral Hospital of Tupelo
Practice address
4579 S Eason Blvd Ste B
Tupelo, MS 38801-6539
Phone
(662) 268-4418
Fax
(662) 224-9381
NPI assigned
Jul 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Authorized official

Name
Laura Tarantino
Title
Evp
Phone
(985) 377-2219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

4579 S Eason Blvd Ste B
Tupelo, MS 38801-6539

Mailing address

3905 Hedgcoxe Rd Unit 250249
Plano, TX 75025-0840
Phone (504) 645-8196

Other names 1

  • Oceans Behavioral Hospital of Tupelo Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221114001466 MS Part A Provider - Hospital 2961879440 Practice locations: Tupelo, MS

Hospital certification: CCN 254013

Legal name
OCEANS BEHAVIORAL HOSPITAL OF TUPELO LLC
Doing business as
OCEANS BEHAVIORAL HOSPITAL OF TUPELO
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Apr 14, 2023
Last certification
Apr 14, 2023
Beds
34
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Mar 12, 2021 in MS
Enrollment address
4579 S Eason Blvd
Ste B
Tupelo, MS 38801-6539
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

Care Compare: Hospital

Medicare Care Compare
Listed as
Oceans Behavioral Hospital of TupeloCCN 254013 · All quality measures
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory

Locations

4749 S Eason Blvd
#B
Tupelo, MS 38801
Phone (662) 240-2459

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Oceans Midco, Inc. Organization, Waltham, MA Corporation 5% Or Greater Indirect Ownership Interest Jan 17, 2023 100%
Oceans Topco, Inc. Organization, Waltham, MA Corporation 5% Or Greater Indirect Ownership Interest Jan 17, 2023 100%
Oceans Ultimate Holdco, LP Organization, Waltham, MA 5% Or Greater Indirect Ownership Interest Jan 17, 2023 100%
Oceans Ultimate Holdco GP, LLC Organization, Waltham, MA Corporation 5% Or Greater Indirect Ownership Interest Jan 17, 2023 1%
Wasque Partners II Spe, LP Organization, West Palm Beach, FL 5% Or Greater Indirect Ownership Interest Jan 17, 2023 10.23%
Webster Oceans Co-Investment Fund, LP Organization, Waltham, MA 5% Or Greater Indirect Ownership Interest Jan 17, 2023 32.73%
Oceans Acquisition Inc Organization, Plano, TX Corporation 5% Or Greater Direct Ownership Interest Jan 17, 2023 100%
Stuart L Archer Individual Corporate DirectorCeo Jan 17, 2023
Operational/Managerial ControlCeo Jan 17, 2023
Laura F Tarantino Individual Corporate OfficerEvp/ General Counsel Jan 17, 2023
Corporate DirectorEvp / General Counsel Jan 17, 2023
Operational/Managerial ControlEvp / General Counsel Jan 17, 2023
Kasie Wood Individual W-2 Managing EmployeeAdministrator Jan 17, 2023
Webster Equity Partners V, LP Organization, Waltham, MA 5% Or Greater Indirect Ownership Interest Jan 17, 2023 51.14%
Oceans Buyer, Inc. Organization, Waltham, MA Corporation 5% Or Greater Indirect Ownership Interest Jan 17, 2023 100%

Facilities with the same owner 42

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

View all 42

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": "1658707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1972239705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 HEDGCOXE RD UNIT 250249",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750250840",
            "telephone_number": "504-645-8196",
            "fax_number": "972-464-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4579 S EASON BLVD STE B",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016539",
            "telephone_number": "662-268-4418",
            "fax_number": "662-224-9381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANS BEHAVIORAL HOSPITAL OF TUPELO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-25",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "TARANTINO",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "985-377-2219"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oceans Behavioral Hospital of Tupelo",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oceans Behavioral Hospital of Tupelo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.