Provider Demographics
NPI:1417294497
Name:TANSHI, LLC
Entity Type:Organization
Organization Name:TANSHI, LLC
Other - Org Name:OCEANS BEHAVIORAL HOSPITAL OF DESOTO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DHANA
Authorized Official - Middle Name:L
Authorized Official - Last Name:DONEPUDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-721-1900
Mailing Address - Street 1:1 LAKESHORE DR
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70629-0100
Mailing Address - Country:US
Mailing Address - Phone:337-721-1900
Mailing Address - Fax:337-721-1976
Practice Address - Street 1:960 HIGHWAY 171
Practice Address - Street 2:
Practice Address - City:STONEWALL
Practice Address - State:LA
Practice Address - Zip Code:71078-9594
Practice Address - Country:US
Practice Address - Phone:337-721-1900
Practice Address - Fax:337-721-1976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-10
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital