ABCDEFGHIJKLMNOPQRSTU
1
PROGRAM_IDFACILITY_NAMEGEOGRAPHICAL_STREET
GEOGRAPHICAL_CITY
GEOGRAPHICAL_STATE
GEOGRAPHICAL_ZIP
PARISH
MAIL_STREET
MAIL_CITY
MAIL_STATE
MAIL_ZIP
ORIGINAL_LICENSURE_DATE
LICENSURE_EXPIRATION_DATE
ADMINISTRATOREMAIL_ADDRESS
TELEPHONE_NUMBER
FAX_PHONE_NUMBER
REGION_CODE
LICENSURE_NUM
LICENSURE_EFFECTIVE_DATE
CURRENT_LIC_ISSUE_DATE
1999
HospitalAvala67252 Industry Lane COVINGTONLA70433ST. TAMMANY
67252 INDUSTRY LANE
COVINGTONLA704332/6/20051/31/2023 BILL HANKINSbhankins@avala.com98580162529858013099922037833702/1/20221/18/2022
2006
HospitalBeacon Behavioral Hospital - Northshore, LLC
64026 Hwy 434, Suite 300 (3rd Floor)
LACOMBELA70445ST. TAMMANY
4601 BLUEBONNET BLVD.; SUITE B
BATON ROUGELA7080910/14/200511/30/2022 BILLIE WHITTINGTONbilliew@beaconbh.com985982022698588298539220378490312/1/202111/16/2021
2012
HospitalBogalusa Rehabilitation Hospital621 Columbia StreetBOGALUSALA70427WASHINGTON
606 PALFREY STREET
FRANKLINLA705383/11/20202/28/2023Charles MatthewsCharles@lazarus7health.com33725445353372544535922037845833/1/20222/16/2022
2038
HospitalCovington - AMG Physical Rehabilitation Hospital5025 Keystone Blvd., Suite 200COVINGTONLA70433ST. TAMMANY
101 LA RUE FRANCE, SUITE 500
LAFAYETTELA705082/25/20161/31/2023 STEPHANIE DAWSEYjmcgee@amgihm.com98588803019858880302922037826722/1/202212/29/2021
2039
HospitalCovington Behavioral Health201 Greenbriar Boulevard COVINGTONLA70433ST. TAMMANY
201 GREENBRIAR BOULEVARD
COVINGTONLA704339/25/200310/31/2022 TANMAY MATHUR
Tanmay.Mathur@acadiahealthcare.com
98589329709858671150969111/1/202110/1/2021
2043
HospitalCypress Pointe Surgical Hospital42570 S. Airport Rd. HAMMONDLA70403TANGIPAHOA
42570 S. AIRPORT RD.
HAMMONDLA7040312/1/201011/30/2022 Paolo Zambitopzambito@cpsh.org 98551062009855106202969012/1/20211/18/2022
2059
HospitalHood Memorial Hospital301 West Walnut St. AMITELA70422TANGIPAHOA
301 WALNUT STREET
AMITELA704223/22/197111/30/2022 JAMES M WHITTINGTON
whittingtonm@hoodmemorial.com
98574894859857488144913912/1/202112/1/2021
2071
HospitalLallie Kemp Medical Center52579 Highway 51 SouthINDEPENDENCELA70443TANGIPAHOA
52579 HIGHWAY 51 SOUTH
INDEPENDENCELA704435/18/19665/31/2023 LISA BRUHLlbruhl@lsuhsc.edu9858789421985878130691756/1/20225/5/2022
2090
HospitalNorth Oaks Medical Center, LLC15790 Paul Vega MD Drive HAMMONDLA70403TANGIPAHOA
POST OFFICE BOX 2668
HAMMONDLA704045/10/196312/31/2022MS Michele K Suttonsuttonm@northoaks.org9853452700985230648297031/1/20221/11/2022
2091
HospitalNorth Oaks Rehabilitation Hospital, LLC1900 South Morrison Boulevard HAMMONDLA70403TANGIPAHOA
1900 SOUTH MORRISON BOULEVARD
HAMMONDLA704038/18/199512/31/2022 HERMAN (MAC) BARRIENTbarrientm@northoaks.org9855427777985230567097041/1/202212/23/2021
2092
HospitalNorth Shore Rehabilitation Hospital
64030 Hwy 434, 1st and 2nd Floor of the Tower
LACOMBELA70445ST. TAMMANY
64030 HWY 434, 1ST AND 2ND FLOOR OF THE TOWER
LACOMBELA704458/14/20197/31/2022 Laurel Dupontldupont@selectmedical.com98521846609858821000922037843648/1/20217/7/2021
2094
HospitalNorthlake Behavioral Health System23515 Highway 190 MANDEVILLELA70448ST. TAMMANY
23515 HIGHWAY 190
MANDEVILLELA704486/11/196310/31/2022 Wayne Thompsonwaynet@northlakebh.org985626630098562665599220378332511/1/202212/7/2021
2095
HospitalNorthshore Extended Care Hospital64030 HIGHWAY 434, FL 2LACOMBELA70445ST. TAMMANY
P.O. BOX 51266
LAFAYETTELA705051/23/19987/31/2022 MONIQUE CORNISHMonique.Cornish@lhcgroup.com98521847009852184701922037845308/1/20217/27/2021
2101
HospitalOceans Behavioral Hospital of Hammond15782 Professional PlzHAMMONDLA70403TANGIPAHOA
5850 GRANITE PARKWAY, SUITE 300
PLANOTX750246/4/200711/30/2022 ALLEN M MCCARTNEY
Allen.McCartney@oceanshealthcare.com
985277141598523711139220378457512/1/202111/17/2021
2115
HospitalOchsner Medical Center - Northshore,LLC100 Medical Center Drive SLIDELLLA70461ST. TAMMANY
100 MEDICAL CENTER DRIVE
SLIDELLLA704615/31/19853/31/2023 CORWIN N HARPERcorwin.harper@ochsner.org9856465000985646555296784/1/20223/18/2022
2125
HospitalOur Lady of the Angels Hospital433 Plaza St. BOGALUSALA70427WASHINGTON
433 PLAZA STREET
BOGALUSALA704274/2/19652/28/2023 Rene Ragas, MHArene.ragas@fmolhs.org 98573067069857306709922037819603/1/20222/28/2022
2127
HospitalOur Lady of the Lake Surgical Hospital1700 W. Lindberg Drive SLIDELLLA70458ST. TAMMANY
1700 W. LINDBERG DRIVE
SLIDELLLA7045810/19/20059/30/2022 Michael Pisciottampisciotta@uspi.com985641060098569072959220378292910/1/20219/22/2021
2128
HospitalPAM Specialty Hospital of Covington20050 Crestwood Blvd. COVINGTONLA70433ST. TAMMANY
1828 GOOD HOPE ROAD, SUITE 102
ENOLAPA170252/1/20042/28/2023 Tim Burketburke@pamspecialty.com9858757525985875733696803/1/20222/21/2022
2129
HospitalPAM Specialty Hospital of Hammond42074 Veterans AvenueHAMMONDLA70403TANGIPAHOA
1828 GOOD HOPE ROAD SUITE 102
ENOLAPA170252/6/20014/30/2023 Nicholas Mendez
nmendez@postacutehammond.com
98590281489859029148922037837425/1/20224/28/2022
2151
HospitalRiverside Medical Center1900 South Main St. FRANKLINTONLA70438WASHINGTON
1900 SOUTH MAIN ST.
FRANKLINTONLA704386/21/19665/31/2023 PETER SULLIVANpsullivan@rmchospital.com 9858394431985839031991686/1/20225/18/2022
2156
HospitalSage Specialty Hospital 8375 Florida Boulevard DENHAM SPRINGSLA70726LIVINGSTON
8375 FLORIDA BLVD
DENHAM SPRINGS
LA7072612/19/19907/31/2022 SYBIL MILESsmiles@sageltac.com22566526642256650736922037836248/1/20217/6/2021
2163
HospitalSlidell Memorial Hospital1001 Gause Boulevard SLIDELLLA70458ST. TAMMANY
1001 GAUSE BOULEVARD
SLIDELLLA704586/8/19634/30/2023 SANDY BADINGER
sandy.badinger@slidellmemorial.org
9852802200985280862691565/1/20223/23/2022
2165
HospitalSoutheast Regional Medical Center, Inc.719 Avenue G KENTWOODLA70444TANGIPAHOA
501 RUE DE SANTE, SUITE 12
LAPLACELA700688/7/20018/31/2022 MARK L MURPHYmarkmurphy@srmcltach.com9852299193985229918094549/1/20218/24/2021
2174
HospitalSt. Helena Parish Hospital16874 Highway 43 GREENSBURGLA70441ST. HELENA
16874 HIGHWAY 43
GREENSBURGLA7044112/7/19661/31/2023MR Naveed Awannawan@shhosp.org2252226111225222326191022/1/202212/30/2021
2178
HospitalSt. Tammany Parish Hospital1202 South Tyler Street COVINGTONLA70433ST. TAMMANY
1202 SOUTH TYLER STREET
COVINGTONLA7043310/15/19631/31/2023 JOAN M COFFMANjcoffman@stph.org9858984000985898439491049/25/20213/9/2022
2179
HospitalSterling Surgical Hospital989 Robert Blvd. SLIDELLLA70458ST. TAMMANY
989 ROBERT BLVD.
SLIDELLLA704585/6/20034/30/2023 DAWN CAZEDESSUS
dcazedessus@sterlingsurgical.net
9856908200985690825994985/1/20223/23/2022
2192
HospitalUnited Medical Rehabilitation Hospital15717 Belle Drive HAMMONDLA70403TANGIPAHOA
15717 BELLE DRIVE
HAMMONDLA704035/16/20024/30/2023 JONATHAN D'ARENSBOURGjdaren@umrhospital.com9853405998985340591195875/1/20224/29/2022
2193
HospitalUniversal Behavioral Health Hospital800 S Oak StHAMMONDLA70403TANGIPAHOA
800 S OAK ST
HAMMONDLA704033/24/20212/28/2023 Feryal Awan admin@ubhhospital.com98550032652254271249922037848863/1/20222/7/2022