NPIMap

Organization Active NPI

Stonebridge Health Systems, LLC

Doing business as Stonebridge Behavioral Hospital

  • Psychiatric Hospital
  • Lake Charles, LA
National Provider Identifier
1114627072
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
STONEBRIDGE HEALTH SYSTEMS, LLC
Doing business as
Stonebridge Behavioral Hospital
Practice address
2837 Ernest St Ste a
Lake Charles, LA 70601-8785
Phone
(337) 439-8111
Fax
(337) 542-4110
NPI assigned
Mar 8, 2023
Last updated
Mar 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Authorized official

Name
Mrs. Leslie Ann Trahan
Title
Member/Manager
Phone
(337) 439-8111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X NU Primary

Addresses

Primary practice location

2837 Ernest St Ste a
Lake Charles, LA 70601-8785

Mailing address

2837 Ernest St Ste a
Lake Charles, LA 70601-8785
Phone (337) 439-8111

Other names 1

  • Stonebridge Behavioral Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230523002192 LA Part A Provider - Hospital 6204068091 Practice locations: Lake Charles, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114627072. Details of each certification follow.

Hospital certification: CCN 194120

Legal name
STONEBRIDGE HEALTH SYSTEMS LLC
Doing business as
FREEDOM BEHAVIORAL HOSPITAL OF LAKE CHARLES
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Nov 17, 2023
Last certification
Nov 17, 2023
Beds
46
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Nov 18, 2013 in LA
Enrollment address
2837 Ernest St
Ste a
Lake Charles, LA 70601-8785
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Stonebridge Behavioral HospitalCCN 194120 · All quality measures
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2279167Stonebridge Behavioral Hospital2837 Ernest St, Suite a, Lake Charles, LA 70601Certificate of waiverMar 29, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Freedom Behavioral Hospital of Lake Charles LLC Organization, Lake Charles, LA Created for acquisition, LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 1, 2025 100%
Zachary Ryder Individual Contracted Managing EmployeeMD; Sep 1, 2025
Rock Bordelon Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2025 50%
Tara Cylyce Reed Individual Contracted Managing Employee Sep 1, 2025
Timothy Jason Reed Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2025 50%
Corporate OfficerLLC Manager Sep 1, 2025
Operational/Managerial ControlLLC Manager Sep 1, 2025
Erica Ann Moore Individual W-2 Managing EmployeeAd; Jul 14, 2015
Rocknjay Investments LLC Organization, Lake Charles, LA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 1, 2025 100%
Azizah Verrett Individual Contracted Managing Employee Sep 1, 2025

Owners & managing parties with NPI records 1

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

Facilities with the same owner 6

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

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1114627072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2837 ERNEST ST STE A",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018785",
            "telephone_number": "337-439-8111",
            "fax_number": "337-542-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2837 ERNEST ST STE A",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018785",
            "telephone_number": "337-439-8111",
            "fax_number": "337-542-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEBRIDGE HEALTH SYSTEMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "TRAHAN",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "337-439-8111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stonebridge Behavioral Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.