Freedom Behavioral Hospital of Leesville LLC

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

Legal business name

FREEDOM BEHAVIORAL HOSPITAL OF LEESVILLE LLC

Practice address

1103 Port Arthur Ter
Leesville, LA 71446

Phone

(337) 802-1336

NPI assigned

Jun 22, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Jason Reed

Title

Ceo

Phone

(337) 802-1336

Specialties & licenses 1

Addresses

Other names 1

• Freedom Behavioral Hospital of Leesville Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Hospital certification: CCN 194121

Legal name

FREEDOM BEHAVIORAL HOSPITAL OF LEESVILLE LLC

Doing business as

FREEDOM BEHAVIORAL HOSPITAL OF LEESVILLE

Certification status

Active

Provider type (POS)

Hospital – Psychiatric

Participating since

Jun 26, 2024

Last certification

Jun 26, 2024

Beds

22

Ownership / control type

Private (for profit)

Organization structure

LLCProprietary

Incorporated

Jun 8, 2023 in LA

Enrollment address

1103 Port Arthur Ter
Leesville, LA 71446-4635
Main/Primary Hospital Location

Hospital subgroups

Psychiatric

Listed as

Freedom Behavioral Hospital of LeesvilleCCN 194121

Type

Psychiatric

Ownership

Proprietary

Medicare certification status

ActiveFrom the Provider of Services file

Emergency services

No

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

Owners & managing parties with NPI records 2

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

• Thomas Charles Dansby Jr., M.D.

  • Family Medicine Physician
  • Monroe, LA
  • NPI 1366536096

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• Edwin Rommel Urbi, MD

  • Psychiatry Physician
  • Alexandria, LA
  • NPI 1649264755

  Contracted Managing Employee

  CMS ownership

Facilities with the same owner 6

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Allegiance Health Center of Ruston LLC

  • Psychiatric Hospital
  • Monroe, LA
  • NPI 1407207863

  Rocknjay Investments LLC

  CMS ownership
• Allegiance Health Center of Ruston, LLC

  • Psychiatric Hospital
  • Ruston, LA
  • NPI 1831283670

  Rocknjay Investments LLC

  CMS ownership
• Ferriday Behavioral Health System LLC

  • Psychiatric Hospital
  • Ferriday, LA
  • NPI 1679147284

  PKC Investments, LLC, Rocknjay Investments LLC, TCD Holdings LLC

  CMS ownership
• Freedom Behavioral Hospital of Bunkie, LLC

  • Psychiatric Hospital
  • Bunkie, LA
  • NPI 1528884350

  Rocknjay Investments LLC

  CMS ownership
• Stonebridge Health Systems, LLC

  • Psychiatric Hospital
  • Lake Charles, LA
  • NPI 1114627072

  Rocknjay Investments LLC

  CMS ownership
• TDPK, LLC

  • Psychiatric Hospital
  • Bastrop, LA
  • NPI 1598383358

  PKC Investments, LLC, Rocknjay Investments LLC, TCD Holdings LLC

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tawfik M. Mukhtar-Benghozi

  • Addiction Psychiatry Physician
  • Alexandria, LA
  • NPI 1790774081
  NPD (past)
• Edwin Rommel Urbi, MD

  • Psychiatry Physician
  • Alexandria, LA
  • NPI 1649264755
  NPD (past)

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1104502525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 S TONTI DR",
            "city": "MANY",
            "state": "LA",
            "postal_code": "714495848",
            "telephone_number": "504-337-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 PORT ARTHUR TER",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "71446",
            "telephone_number": "337-802-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM BEHAVIORAL HOSPITAL OF LEESVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "337-802-1336",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freedom Behavioral Hospital of Leesville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Ford
• Tiffany Francis
• Vanessa Francois
• Decora R Franklin, NP
• Francis Alouysious Fraser, MD
• Fresenius Medical Care Leesville, LLC
• Christian Freund, MD
• Gaddis Medical & Aesthetics, LLC
• Matthew Skrable Ganey, DDS
• Rachael Garrison, PA-C

• All providers in Leesville, LA
• Psychiatric Hospital in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.