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Organization Active NPI

Thibodaux Regional Health System Inc

  • Rehabilitation Hospital
  • Thibodaux, LA
National Provider Identifier
1083274153
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
THIBODAUX REGIONAL HEALTH SYSTEM INC
Practice address
602 N Acadia Rd
Thibodaux, LA 70301-4823
Phone
(985) 447-5500
Fax
(985) 446-5033
NPI assigned
Jun 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Authorized official

Name
Mr. Jacob A Giardina
Title
Chairman
Phone
(985) 447-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X Primary

Addresses

Primary practice location

602 N Acadia Rd
Thibodaux, LA 70301-4823

Mailing address

PO Box 1118
Thibodaux, LA 70302-1118
Phone (985) 447-5500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190910001433 LA Part A Provider - Hospital 7012246549 Practice locations: Thibodaux, LA

Hospital certification: CCN 19T004

Legal name
THIBODAUX REGIONAL HEALTH SYSTEM INC
Doing business as
THIBODAUX REGIONAL MEDICAL CENTER
Organization structure
CorporationNon-profit
Incorporated
Nov 13, 2018 in LA
Enrollment address
602 North Acadia Road
Thibodaux, LA 70301-4823
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Thibodaux Regional Medical CenterCCN 19T004
Ownership
Non-profit
Certified
Oct 1, 1992

National Provider Directory

National Provider Directory
Tax ID family
Thibodaux Regional Health System Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Gregory Stock Individual Corporate OfficerCeo Oct 1, 2019 50%
W-2 Managing EmployeeCeo Oct 1, 2019 50%
David W Elias Individual Corporate DirectorDirector Nov 13, 2018
Bonnie Loker Individual W-2 Managing EmployeeAssistant Cfo Sep 1, 2019 50%
Raja S Talluri Individual Corporate DirectorDirector Nov 13, 2018
Jacob Giardina Individual Corporate DirectorDirector Nov 13, 2018 20%
Operational/Managerial ControlDirector Nov 13, 2018 20%
Obie C Hill Individual Corporate DirectorDirector Nov 13, 2018
Harold M Block Individual Corporate DirectorDirector Mar 18, 2025

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

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": "1560902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1083274153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1118",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703021118",
            "telephone_number": "985-447-5500",
            "fax_number": "985-446-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 N ACADIA RD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014823",
            "telephone_number": "985-447-5500",
            "fax_number": "985-446-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIBODAUX REGIONAL HEALTH SYSTEM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-19",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A",
        "authorized_official_last_name": "GIARDINA",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "985-447-5500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

Verify at the official NPI Registry.