Hospital Name Change Packets

 

Hospital DBA Name Change

This packet is to be used in submitting changes to the "DBA" "Doing Business As" name. If a change in the enitity name occurs, please use the "Hospital CHOW". Please send this packet to the Department of Health and Hospitals, Health Standards Section, P.O. Box 3767, Baton Rouge, LA 70821. Please send all payments associated with this packet to LDH-Licensing, P.O. Box 62949, New Orleans, LA 70162-2949.

 


 

Currently Licensed Off-site Campus DBA Name Change

This packet is designed to assist providers in submitting information to change the DBA name of an offsite campus. Please send this packet to the Department of Health & Hospitals, Health Standards Section, P.O. Box 3767, Baton Rouge, LA 70821-3767. Please send all payments associated with this packet to LDH Licensing, P.O. Box 62949, New Orleans, LA 70162-2949.

 

 


Hospital Legal Entity Name Changes with no corresponding change in the dba name

This packet is to be used in submitting changes to the legal entity name that does not constitute a Change of Ownership (CHOW). Please keep in mind that once Health Standards reviews this information it may be determined to be a CHOW and additional information will be requested. Please send this packet and the payments to the respective locations listed on the Hospital Application.

 

 


 

hospital legal entity name change with a corresponding change in the dba name

This packet is designed to assist providers in submitting the information to change.