NPIMap

Organization Active NPI

Behavioral Health Porter Village, LLC

  • Psychiatric Hospital
  • Norman, OK
National Provider Identifier
1972385672
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
BEHAVIORAL HEALTH PORTER VILLAGE, LLC
Practice address
506 Wellness Way
Norman, OK 73071
Phone
(405) 754-1309
Fax
(405) 753-5669
NPI assigned
Oct 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Authorized official

Name
Laura F. Tarantino
Title
Evp
Phone
(972) 464-0022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

506 Wellness Way
Norman, OK 73071

Mailing address

3905 Hedgcoxe Rd Unit 250249
Plano, TX 75025-0840
Phone (972) 464-0022

Other names 1

  • Behavioral Health Center at Porter Health Village Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240426000598 OK Part A Provider - Hospital 3274973045 Practice locations: Norman, OK

Hospital certification: CCN 374027

Legal name
BEHAVIORAL HEALTH PORTER VILLAGE LLC
Doing business as
BEHAVIORAL HEALTH CENTER AT PORTER HEALTH VILLAGE
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Jul 22, 2024
Last certification
Jul 22, 2024
Beds
48
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Jul 9, 2021 in OK
Enrollment address
506 Wellness Way
Norman, OK 73071-0400
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

Care Compare: Hospital

Medicare Care Compare
Listed as
Behavioral Health Center at Porter Health VillageCCN 374027
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

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
37D2301434Behavioral Health Center at Porter Health Village506 Wellness Way, Norman, OK 73071Certificate of waiverMar 25, 2028

National Provider Directory

National Provider Directory

Member of 1

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

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 Jun 4, 2024 70%
Oceans Topco, Inc. Organization, Waltham, MA Corporation 5% Or Greater Indirect Ownership Interest Jun 4, 2024 70%
Oceans Ultimate Holdco, LP Organization, Waltham, MA 5% Or Greater Indirect Ownership Interest Jun 4, 2024 70%
Norman Regional Hospital Authority Organization, Norman, OK 5% Or Greater Direct Ownership Interest Jun 4, 2024 30%
Oceans Ultimate Holdco GP, LLC Organization, Waltham, MA 5% Or Greater Indirect Ownership Interest Jun 4, 2024 70%
Wasque Partners II Spe, LP Organization, West Palm Beach, FL 5% Or Greater Indirect Ownership Interest Jun 4, 2024 7.2%
Webster Oceans Co-Investment Fund, LP Organization, Waltham, MA 5% Or Greater Indirect Ownership Interest Jun 4, 2024 22.9%
Oceans Acquisition Inc Organization, Plano, TX Corporation 5% Or Greater Direct Ownership Interest Jun 4, 2024 70%
Stuart L Archer Individual Corporate OfficerCeo Jun 4, 2024 100%
W-2 Managing Employee Jun 4, 2024
Laura F Tarantino Individual Corporate OfficerEvp Jun 4, 2024 100%
Webster Equity Partners V, LP Organization, West Palm Beach, FL 5% Or Greater Indirect Ownership Interest Jun 4, 2024 35.8%
Oceans Buyer, Inc. Organization, Waltham, MA Corporation 5% Or Greater Indirect Ownership Interest Jun 4, 2024 70%

Owners & managing parties with NPI records 5

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

Facilities with the same owner 45

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

View all 45

Practitioners & affiliated clinicians

Practitioners 5

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": "1697500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1972385672",
    "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": "972-464-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 WELLNESS WAY",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "73071",
            "telephone_number": "405-754-1309",
            "fax_number": "405-753-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH PORTER VILLAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-17",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "TARANTINO",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "972-464-0022"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavioral Health Center at Porter Health Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.