Hospital Service District No. 3

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

230 Issued in LA

Legal business name

HOSPITAL SERVICE DISTRICT NO. 3

Practice address

804 Bayou LN
Thibodaux, LA 70301-4906

Phone

(985) 447-8442

Fax

(985) 447-8222

NPI assigned

Jul 27, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Steve Gaubert

Title

Chief Financial Officer

Phone

(985) 493-4740

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Thibodaux Regional Health System Inc

  • Home Health Agency
  • Thibodaux, LA
  • NPI 1912567033

  Sold to, 2019-10-01

  CMS change of ownership

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164436333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 BAYOU LN",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014906",
            "telephone_number": "985-447-8442",
            "fax_number": "985-447-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 BAYOU LN",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014906",
            "telephone_number": "985-447-8442",
            "fax_number": "985-447-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL SERVICE DISTRICT NO. 3",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAUBERT",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "985-493-4740",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1402095",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Holy
• Home-Care Pca, Inc. (A-Absolute Home-Care Pca, Inc.)
• Homecare Pca, LLC (A-Absolute Homecare Pca)
• Leah Hood
• Hospital Service District #3 (Thibodaux Regional Medical Center)
• Hospital Service District No. 3 (Thibodaux Regional Medical Center)
• Hospital Service District No. 3 (Thibodaux Regional Medical Center)
• Hospital Service District No. 3 (Thibodaux Regional Medical Center)
• Christine Hotaling, MS
• Carliss G Houston, MED

• Home Health Agency in Thibodaux, LA
• Providers in Thibodaux, LA by specialty
• Home Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.