Covered Entity Details

HV12908B NO/AIDS Task Force (d.b.a. CrescentCare) (Terminated) - information as of 5/29/2025 1:56:41 AM

Main Details

Name

NO/AIDS Task Force (d.b.a. CrescentCare)

Subdivision Name

Family Care Services Center

Type

Ryan White Part C

340B ID

HV12908B

Grant Number

H76HA12908

Additional Details

Current Program Status

Terminated

Registration Date

10/8/2014

Participating Start Date

1/1/2015

Participating Approval Date

10/17/2014

Last Recertification Date

2/11/2019

Time Period the Assistance was Received

Termination Date
Termination Reason

4/1/2020
Other

Contacts

Authorizing Official

NO/AIDS Task Force (d.b.a. CrescentCare)
NOEL John TWILBECK, CEO
(504) 821-2601 Ext: 1000

Primary Contact

no/aids task force
Jeannette Beard, Internal Audit Manager
(504) 821-2601 Ext: 1002

Addresses

Street Address

1631 ELYSIAN FIELDS AVE
New Orleans, LA 70117

Billing Address
Same as Street Address

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
No

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Termination Date	Last Updated On
Contract Detail	AVITA PHARMACY 1028	340B PARTNERS PHARMACY-DALLAS LLC DBA AV	750 FORT WORTH AVE STE H100	DALLAS	TX	75208-1811	10/17/2014	01/01/2015	04/01/2020	04/01/2020
Contract Detail	AVITA PHARMACY 1037	AVITA DRUGS LLC-NOLA D/B/A AVITA PHARMAC	2519 CANAL ST	NEW ORLEANS	LA	70119	10/17/2014	01/01/2015	04/01/2020	04/01/2020
Contract Detail	AVITA PHARMACY 1038	AVITA DRUGS LLC-NOLA 2 D/B/A AVITA PHARM	3308 TULANE AVE STE 102	NEW ORLEANS	LA	70119-7170	01/14/2018	04/01/2018	04/01/2020	04/01/2020
Contract Detail	AVITA PHARMACY 1039	1631 ELYSIAN FIELDS AVE STE 200		NEW ORLEANS	LA	70117-8208	01/03/2019	04/01/2019	04/01/2020	04/01/2020
Contract Detail	AVITA PHARMACY 1040	AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10	6100 CORPORATE BLVD STE 250	BATON ROUGE	LA	70808	10/17/2014	01/01/2015	04/01/2020	04/01/2020
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA: WALGREENS #10316	4001 CANAL ST	NEW ORLEANS	LA	70119	04/14/2016	07/01/2016	04/01/2020	04/01/2020
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA: WALGREENS SPECIALTY PHARMACY #13777	1415 TULANE AVE STE 2CW07	NEW ORLEANS	LA	70112	04/14/2016	07/01/2016	04/01/2020	04/01/2020
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA: WALGREENS # 02262	1100 ELYSIAN FIELDS	NEW ORLEANS	LA	70117	01/14/2018	04/01/2018	04/01/2020	04/01/2020
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA: WALGREENS # 05040	1801 SAINT CHARLES AVE	NEW ORLEANS	LA	70130	01/14/2018	04/01/2018	04/01/2020	04/01/2020
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA WALGREENS SPECIALTY PHARMACY #16395	2000 CANAL ST STE G1-1200	NEW ORLEANS	LA	70112	01/14/2018	04/01/2018	04/01/2020	04/01/2020
Contract Detail	WALGREEN LOUISIANA CO., INC.	WALGREENS #17089	760 HARRISON AVE	NEW ORLEANS	LA	70124-3156	07/10/2018	10/01/2018	04/01/2020	04/01/2020
Contract Detail	WALGREEN LOUISIANA CO., INC.	WALGREENS #19904	725 VETERANS MEMORIAL BLVD	METAIRIE	LA	70005-2872	07/10/2018	10/01/2018	04/01/2020	04/01/2020
Contract Detail	WALGREEN LOUISIANA CO., INC.	WALGREENS #17199	8225 JEFFERSON HWY	HARAHAN	LA	70123-4617	07/10/2018	10/01/2018	04/01/2020	04/01/2020
Contract Detail	WALGREEN LOUISIANA CO., INC.	WALGREENS #17110	800 METAIRIE RD STE D	METAIRIE	LA	70005	07/10/2018	10/01/2018	04/01/2020	04/01/2020

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	State	Update		To Be Terminated	Terminated	4/1/2020 12:05 AM
Contacts	Primary Contact	Update	Profile Change Request	Beard, Jeannette Internal Audit Manager no/aids task force 5048212601-202	Beard, Jeannette Internal Audit Manager no/aids task force 5048212601-1002	2/4/2020 2:08 PM
Dates	Last Date That 340B Drugs Purchased	Update	Recertification		2/4/2020 12:00:00 AM	2/4/2020 1:41 PM
Details	State	Update	Recertification	Active	To Be Terminated	2/4/2020 1:41 PM
Terminations	Termination Comments	Update	Recertification		consolidated 2 locations into one facility	2/4/2020 1:41 PM
Terminations	Termination Date	Update	Recertification		4/1/2020 12:00:00 AM	2/4/2020 1:41 PM
Terminations	Termination Effective Date	Update	Recertification		2/4/2020 12:00:00 AM	2/4/2020 1:41 PM
Terminations	Termination Reason	Update	Recertification		Other	2/4/2020 1:41 PM
Details	Last Recertification Date	Update	Recertification	2/12/2018 9:57:10 AM	2/11/2019 3:16:31 PM	2/11/2019 3:16 PM
Addresses	Main Address	Update	Change Request	4640 S. Carrollton Ave. #120 and #130 New Orleans, LA 70119	1631 ELYSIAN FIELDS AVE New Orleans, LA 70117	12/10/2018 2:52 PM
Contacts	Authorizing Official	Update	Profile Change Request	TWILBECK, NOEL John CEO NO/AIDS Task Force (d.b.a. CrescentCare) 5048212601-228	TWILBECK, NOEL John CEO NO/AIDS Task Force (d.b.a. CrescentCare) 5048212601-1000	12/8/2018 2:23 PM
Details	Last Recertification Date	Update	Recertification	2/17/2017 12:00:00 AM	2/12/2018 9:57:10 AM	2/12/2018 9:57 AM
Contacts	Authorizing Official	Update		TWILBECK, NOEL CEO 5048212601-228	TWILBECK, NOEL John CEO NO/AIDS Task Force (d.b.a. CrescentCare) 5048212601-228	10/10/2017 7:55 AM
Contacts	Primary Contact	Update		Beard, Jeannette Internal Audit Manager 5048212601-202	Beard, Jeannette Internal Audit Manager no/aids task force 5048212601-202	10/5/2017 4:37 PM
Contacts	Primary Contact	Update		Holm, Pam Director of HIV Primary Care 5048212601-241	Beard, Jeannette Internal Audit Manager 5048212601-202	8/10/2017 11:48 AM
Contacts	Authorizing Official	Insert			TWILBECK, NOEL CEO 5048212601-228	8/10/2017 11:48 AM
Contacts	Signed By	Insert			Twilbeck, Noel CEO 5048212601-228	8/10/2017 11:48 AM
Addresses	Main Address	Insert			4640 S. Carrollton Ave. #120 and #130 New Orleans, LA 70119	7/7/2017 8:14 AM
Addresses	Billing Address	Insert			NO/AIDS Task Force (dba CrescentCare) 2601 Tulane Avenue Suite 500 New Orleans, LA 70119	7/7/2017 8:14 AM
Details	Entity Name	Update		NO/AIDS Task Force	NO/AIDS Task Force (d.b.a. CrescentCare)	7/7/2017 8:13 AM
Details	Last Recertification Date	Update		2/25/2016 12:00:00 AM	2/17/2017 12:00:00 AM	2/17/2017 7:12 PM
Details	Last Recertification Date	Update		2/16/2015 12:00:00 AM	2/25/2016 12:00:00 AM	2/25/2016 6:16 PM
Details	Last Recertification Date	Update			2/16/2015 12:00:00 AM	2/16/2015 10:11 PM
Contacts	Primary Contact	Insert			Holm, Pam Director of HIV Primary Care 5048212601-241	2/16/2015 10:11 PM
Dates	Participating Approval Date	Update			10/17/2014 12:00:00 AM	10/17/2014 1:54 PM
Details	State	Update		Pending	Active	10/17/2014 1:54 PM
Dates	Start Date	Update			1/1/2015 12:00:00 AM	10/17/2014 1:54 PM
Details	340B ID	Update		ONLINE_REG_46818	HV12908B	10/10/2014 3:48 PM
Details	340B ID	Update		ONLINE_REG	ONLINE_REG_46818	10/8/2014 3:52 PM
Details	Last Recertification Date	Insert				10/8/2014 3:52 PM
Details	Grant Number	Insert			H76HA12908	10/8/2014 3:52 PM
Details	340B ID	Insert			ONLINE_REG	10/8/2014 3:52 PM
Details	Is Authorizing Official EHB Data	Insert				10/8/2014 3:52 PM
Dates	Last Date That 340B Drugs Purchased	Insert				10/8/2014 3:52 PM
Details	Medicare Provider Number	Insert				10/8/2014 3:52 PM
Details	Entity Name	Insert			NO/AIDS Task Force	10/8/2014 3:52 PM
Details	Program Code	Insert			HV	10/8/2014 3:52 PM
Details	Entity Subname	Insert			Family Care Services Center	10/8/2014 3:52 PM
Dates	Participating Approval Date	Insert				10/8/2014 3:52 PM
Details	State	Insert			Pending	10/8/2014 3:52 PM
Dates	Registration Date	Insert			10/8/2014 12:00:00 AM	10/8/2014 3:52 PM
Dates	Signed By Date	Insert			10/8/2014 12:00:00 AM	10/8/2014 3:52 PM
Dates	Start Date	Insert				10/8/2014 3:52 PM
Terminations	Termination Comments	Insert				10/8/2014 3:52 PM
Terminations	Termination Date	Insert				10/8/2014 3:52 PM
Terminations	Termination Effective Date	Insert				10/8/2014 3:52 PM
Terminations	Termination Reason	Insert				10/8/2014 3:52 PM

340B Drug Pricing Program Database

Comments

Medicaid Billing

Shipping Addresses

Contract Pharmacies

History