Acadia Rehabilitation Hospital, LLC
Organization Active NPI Rehabilitation Hospital · Jennings, LA
NPI 1043216583 · NPPES record last updated Nov 9, 2011
Key facts
- NPI
- 1043216583
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Hospital 283X00000X
- License
- 452 (LA)
- Legal business name
- ACADIA REHABILITATION HOSPITAL, LLC
- Practice address
- One Hospital Drive
Suite 101
Jennings, LA 70546-3641 - Phone
- (337) 821-5353
- Fax
- (337) 821-5366
- NPI assigned
- Jun 21, 2005
- Organization subpart
- No
Authorized official
- Name
- Michael R. Holland, M.D.
- Title
- Ceo
- Phone
- (337) 824-3819
Owners & managing parties with NPI records 11
-
Dwight Thomas Curtis, M.D.
-
Richard Earl Edwards III, M.D.
-
Ryan John Edwards, M.D.
-
Michael R. Holland, M.D.
-
Patrick Dale Leleux Jr., M.D.
-
James Edward McNally, M.D.
-
John Patrick Segura, M.D.
-
Brian Cranford Wilder, M.D.
Corporate family (same tax ID) 2
Member organizations 1
Practitioners 2
-
Patrick Dale Leleux Jr., M.D.
Affiliated clinicians 1
Medicare Care Compare: Inpatient rehabilitation facility
- Listed as
- Rehabilitation Hospital of Jennings
- Ownership
- Physician
- Certified
- Jul 2, 2001
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
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
- LLC · Proprietary
- Enrollment address
- 1 Hospital Dr
Ste 101
Jennings, LA 70546-3641 - Hospital subgroups
- Rehabilitation
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Richard E Edwards |
General Partnership Interest |
Jan 1, 2015 | 4.8% |
| Stuart a Begnaud |
General Partnership Interest | Jul 1, 2006 | 2.8% |
| Dwight T Curtis |
General Partnership Interest | Jul 1, 2006 | 1.75% |
| Ryan John Edwards |
General Partnership Interest | Jan 1, 2022 | 2% |
| John Patrick Segura |
General Partnership Interest | Jan 1, 2018 | 2.55% |
| Patrick Griffith |
5% Or Greater Direct Ownership Interest | Jul 1, 2006 | 10.68% |
| James E McNally |
General Partnership Interest | Jun 22, 2009 | 3.3% |
| Alison McFarlain |
W-2 Managing Employee |
Jan 1, 2026 | |
| Brian C Wilder |
5% Or Greater Direct Ownership Interest | Jul 1, 2006 | 10.68% |
| Michael R Holland |
General Partnership Interest |
Feb 22, 2001 | 53.88% |
| Corporate Director | Dec 18, 2007 | ||
| Patrick Dale Leleux |
5% Or Greater Direct Ownership Interest | Jun 22, 2009 | 5.55% |
| Donna G Richard |
W-2 Managing Employee | Sep 1, 2011 | |
| Robert J Aertker |
General Partnership Interest | Jan 1, 2022 | 2% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040220000199 | LA | Part a Provider - Hospital | 8426943168 | Practice locations: Jennings, LA |
National Provider Directory
- Tax ID family
- Acadia Rehabilitation Hospital LLC
Locations
155 Odd Fellows Rd
Crowley, LA 70526
Phone (337) 514-5200
1 Hospital Dr
Ste 101
Jennings, LA 70546
Phone (337) 821-5353
233 N Main St
Jennings, LA 70546
Phone (337) 616-0115
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital | 283X00000X | HO0004069 | LA | |
| Rehabilitation Hospital | 283X00000X | 452 | LA | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60230 | Other | LA | BLUE CROSS OF LA. PROVIDE |
| 1700088 | Medicaid | LA |
Other names
- Rehabilitation Hospital of Jennings
Other providers in Jennings, LA
- A & M Homecare la LLC
- A W Medical Transportation LLC
- Acadian Eye Care & Optical Inc.
- Acadian Eye Care & Optical, Inc
- Acadian Home Health Care Services, LLC
- Acadiana Region Supports & Services Center
- Acadiana Region Supports & Services Center
All providers in Jennings, LA · Rehabilitation Hospital in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.