NPIMap

Organization Active NPI

Acadia Rehabilitation Hospital, LLC

Doing business as Rehabilitation Hospital of Jennings

  • Rehabilitation Hospital
  • Jennings, LA
National Provider Identifier
1043216583
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
452 Issued in LA
Legal business name
ACADIA REHABILITATION HOSPITAL, LLC
Doing business as
Rehabilitation Hospital of Jennings
Practice address
One Hospital Drive
Suite 101
Jennings, LA 70546-3641
Phone
(337) 821-5353
Fax
(337) 821-5366
NPI assigned
Jun 21, 2005
Last updated
Nov 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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

Authorized official

Name
Michael R. Holland, M.D.NPI 1366436891
Title
Ceo
Phone
(337) 824-3819

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X HO0004069 LA
Rehabilitation Hospital 283X00000X 452 LA Primary

Addresses

Primary practice location

One Hospital Drive
Suite 101
Jennings, LA 70546-3641

Mailing address

One Hospital Drive
Suite 101
Jennings, LA 70546-3641
Phone (337) 821-5353

Other names 1

  • Rehabilitation Hospital of Jennings Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040220000199 LA Part A Provider - Hospital 8426943168 Practice locations: Jennings, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043216583. Details of each certification follow.

Hospital certification: CCN 193067

Legal name
ACADIA REHABILITATION HOSPITAL, LLC
Doing business as
REHABILITATION HOSPITAL OF JENNINGS
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Jul 2, 2001
Last certification
Oct 19, 2022
Beds
20
Ownership / control type
Physician ownership
Organization structure
LLCProprietary
Enrollment address
1 Hospital Dr
Ste 101
Jennings, LA 70546-3641
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Rehabilitation Hospital of JenningsCCN 193067 · All quality measures
Ownership
Physician
Certified
Jul 2, 2001
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Acadia Rehabilitation Hospital LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

2018 Veterans Memorial Dr
Abbeville, LA 70510
Phone (337) 893-0474

1420 Northwest Blvd
Franklin, LA 70538
Phone (337) 413-9131

75 Main St
Franklin, LA 70538
Phone (337) 534-0254

1 Hospital Dr
Jennings, LA 70546

1 Hospital Dr
Ste 101
Jennings, LA 70546
Phone (337) 821-5353

233 N Main St
Jennings, LA 70546
Phone (337) 616-0115

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Richard E Edwards Individual General Partnership InterestBoard Member Jan 1, 2015 4.8%
Stuart a Begnaud Individual General Partnership Interest Jul 1, 2006 2.8%
Dwight T Curtis Individual General Partnership Interest Jul 1, 2006 1.75%
Ryan John Edwards Individual General Partnership Interest Jan 1, 2022 2%
John Patrick Segura Individual General Partnership Interest Jan 1, 2018 2.55%
Patrick Griffith Individual 5% Or Greater Direct Ownership Interest Jul 1, 2006 10.68%
James E McNally Individual General Partnership Interest Jun 22, 2009 3.3%
Alison McFarlain Individual W-2 Managing EmployeeDirector of Nursing Jan 1, 2026
Brian C Wilder Individual 5% Or Greater Direct Ownership Interest Jul 1, 2006 10.68%
Michael R Holland Individual General Partnership InterestCeo Feb 22, 2001 53.88%
Corporate Director Dec 18, 2007
Patrick Dale Leleux Individual 5% Or Greater Direct Ownership Interest Jun 22, 2009 5.55%
Donna G Richard Individual W-2 Managing Employee Sep 1, 2011
Robert J Aertker Individual General Partnership Interest Jan 1, 2022 2%

Owners & managing parties with NPI records 11

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1043216583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE HOSPITAL DRIVE",
            "address_2": "SUITE 101",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705463641",
            "telephone_number": "337-821-5353",
            "fax_number": "337-821-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE HOSPITAL DRIVE",
            "address_2": "SUITE 101",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705463641",
            "telephone_number": "337-821-5353",
            "fax_number": "337-821-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIA REHABILITATION HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "337-824-3819",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "LA",
            "license": "HO0004069",
            "primary": false
        },
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "LA",
            "license": "452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehabilitation Hospital of Jennings",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jennings, LA

Sources for this page

Verify at the official NPI Registry.