Active NPI
Teche Specialty Hospital, LLC
- General Acute Care Hospital
- New Iberia, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- TECHE SPECIALTY HOSPITAL, LLC
- Practice address
- 532 Jefferson Ter
New Iberia, LA 70560-4948 - Phone
- (337) 364-6923
- Fax
- (337) 608-0362
- NPI assigned
- Apr 27, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Athan J. Olivier III
- Title
- Ceo
- Phone
- (337) 364-6923
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Primary | ||
| Rehabilitation Hospital | 283X00000X | LA |
Addresses
Primary practice location
532 Jefferson Ter
New Iberia, LA 70560-4948
Mailing address
532 Jefferson Ter
New Iberia, LA 70560-4948
Phone (337) 364-6923
Other names 1
- Iberia Rehabilitaton Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150727001031 | LA | Part A Provider - Hospital | 6103963889 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lafayette, LA |
Hospital certification: CCN 193096
- Legal name
- TECHE SPECIALTY HOSPITAL LLC
- Doing business as
- ACADIANA REHABILITATION
- Certification status
- Active
- Provider type (POS)
- Hospital – Rehabilitation
- Participating since
- Jun 1, 2015
- Last certification
- Jul 8, 2023
- Beds
- 40
- Ownership / control type
- Private (for profit)
- Organization structure
- LLC
- Enrollment address
- 314 Youngsville Hwy
Lafayette, LA 70508-4524 - Hospital subgroups
- Rehabilitation
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Care Compare: Inpatient rehabilitation facility
Medicare Care Compare- Listed as
- Acadiana Rehabilitation
- Ownership
- For profit
- Certified
- Jun 1, 2015
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Rehabilitation Hospital
- New Iberia, LA
- NPI 1649503103
Member Of
Ownership & related parties
All disclosed owners & managing parties 9
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Ervin Doug Miller | W-2 Managing Employee | Jan 8, 2024 | |
| Mark Galjour | General Partnership Interest | May 3, 2012 | 1.07% |
| Stuart a Begnaud | Contracted Managing Employee | Apr 29, 2009 | |
| Woodrow Daigle | General Partnership Interest | May 3, 2012 | 1.06% |
| Douglas Daigle | 5% Or Greater Direct Ownership Interest | Dec 31, 2012 | 10.64% |
| Crystal Carriere | W-2 Managing Employee | Dec 1, 2025 | |
| Daniel Joseph Daigle | 5% Or Greater Direct Ownership Interest | Jan 18, 2012 | 67.53% |
| Angelique Richardson | 5% Or Greater Direct Ownership Interest | Jan 1, 2024 | 5.87% |
| Corporate Officer | Jan 1, 2024 | ||
| W-2 Managing Employee | Jan 1, 2024 | ||
| Athan J Olivier | General Partnership Interest | May 3, 2012 | 2.13% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Physical Medicine & Rehabilitation Physician
- Lafayette, LA
- NPI 1205829314
Contracted Managing Employee
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Physical Medicine & Rehabilitation Physician
- Lafayette, LA
- NPI 1205829314
Inpatient rehabilitation facility
-
- Internal Medicine Physician
- Lafayette, LA
- NPI 1932118445
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272326400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1343174400000",
"number": "1346567690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "532 JEFFERSON TER",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705604948",
"telephone_number": "337-364-6923",
"fax_number": "337-608-0362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "532 JEFFERSON TER",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705604948",
"telephone_number": "337-364-6923",
"fax_number": "337-608-0362"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TECHE SPECIALTY HOSPITAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-27",
"last_updated": "2012-07-25",
"status": "A",
"authorized_official_last_name": "OLIVIER",
"authorized_official_first_name": "ATHAN",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "337-364-6923",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": true
},
{
"code": "283X00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Hospital",
"state": "LA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Iberia Rehabilitaton Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New Iberia, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; 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.