Organization Active NPI

Teche Specialty Hospital, LLC

  • General Acute Care Hospital
  • New Iberia, LA
National Provider Identifier
1346567690
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
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

Updated by the provider on Jul 25, 2012

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
Enrollment address
314 Youngsville Hwy
Lafayette, LA 70508-4524
Main/Primary Hospital Location
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 RehabilitationCCN 193096
Ownership
For profit
Certified
Jun 1, 2015
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

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.

NameRoleSinceShare
Ervin Doug Miller Individual W-2 Managing EmployeeAd; Jan 8, 2024
Mark Galjour Individual General Partnership Interest May 3, 2012 1.07%
Stuart a Begnaud Individual Contracted Managing EmployeeMD; Apr 29, 2009
Woodrow Daigle Individual General Partnership Interest May 3, 2012 1.06%
Douglas Daigle Individual 5% Or Greater Direct Ownership Interest Dec 31, 2012 10.64%
Crystal Carriere Individual W-2 Managing EmployeeDirector of Nursing Dec 1, 2025
Daniel Joseph Daigle Individual 5% Or Greater Direct Ownership InterestManager Jan 18, 2012 67.53%
Angelique Richardson Individual 5% Or Greater Direct Ownership Interest Jan 1, 2024 5.87%
Corporate OfficerCeo Jan 1, 2024
W-2 Managing Employee Jan 1, 2024
Athan J Olivier Individual 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.

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "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

Verify at the official NPI Registry.