NPIMap

Organization Active NPI

CLHG-Leesville

  • Rehabilitation Hospital Unit
  • Leesville, LA
National Provider Identifier
1477128288
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
CLHG-LEESVILLE
Practice address
1020 W Fertitta Blvd
Leesville, LA 71446-4645
Phone
(337) 239-9041
NPI assigned
May 24, 2021
Last updated
May 24, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
CLHG-LEESVILLEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Authorized official

Name
Brittaney L Hippler
Title
Regional Director of Clinic Ops
Phone
(318) 315-7093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

Primary practice location

1020 W Fertitta Blvd
Leesville, LA 71446-4645

Mailing address

1020 W Fertitta Blvd
Leesville, LA 71446-4645
Phone (337) 239-9041

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210614000563 LA Part A Provider - Hospital 4082963301 Practice locations: Leesville, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477128288. Details of each certification follow.

Hospital certification: CCN 19T164

Legal name
CLHG-LEESVILLE
Organization structure
LLCProprietary
Enrollment address
1020 W Fertitta Blvd
Leesville, LA 71446-4645
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 9

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

  • CLHG-Leesville

    dba Lubbos Medical Plaza

    • Rural Health Clinic/Center
    • Leesville, LA
    • NPI 1033700539

    4082963301

    Same PAC ID
  • CLHG-Leesville

    dba West Louisiana Family Practice - Leesville

    • Rural Health Clinic/Center
    • Leesville, LA
    • NPI 1194411694

    4082963301

    Same PAC ID
  • CLHG-Leesville

    dba Byrd Regional Hospital Reference Laboratory

    • Clinical Medical Laboratory
    • Leesville, LA
    • NPI 1538623640

    4082963301

    Same PAC ID
  • CLHG-Leesville

    dba West Louisiana Obstetrics and Gynecology

    • Rural Health Clinic/Center
    • Leesville, LA
    • NPI 1598327892

    4082963301

    Same PAC ID
  • CLHG-Leesville
    • Rural Health Clinic/Center
    • Deridder, LA
    • NPI 1790257434

    4082963301

    Same PAC ID
  • CLHG-Leesville

    dba West Louisiana Family Practice-Deridder

    • Rural Health Clinic/Center
    • Deridder, LA
    • NPI 1831659333

    4082963301

    Same PAC ID
  • CLHG-Leesville

    dba Byrd Medical Clinic

    • Rural Health Clinic/Center
    • Leesville, LA
    • NPI 1871065516

    4082963301

    Same PAC ID
  • CLHG-Leesville

    dba Byrd Regional Hospital

    • General Acute Care Hospital
    • Leesville, LA
    • NPI 1881665164

    4082963301

    Same PAC ID
  • CLHG-Leesville

    dba West Louisiana Family Practice-Rosepine

    • Rural Health Clinic/Center
    • Rosepine, LA
    • NPI 1982164224

    4082963301

    Same PAC ID

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Byrd Regional HospitalCCN 19T164 · All quality measures
Ownership
For profit
Certified
Aug 1, 2021

National Provider Directory

National Provider Directory
Tax ID family
CLHG-Leesville13 organizations share this tax ID, including this one
Part of
CLHG-Leesville

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Donald Cameron Individual 5% Or Greater Direct Ownership InterestBoard Member Jun 1, 2018 16%
Corporate OfficerBoard Member Jun 1, 2018
Corporate DirectorBoard Member Jun 1, 2018
W-2 Managing Employee Jun 1, 2018
Rock Bordelon Individual 5% Or Greater Direct Ownership InterestBoard Member Jun 1, 2018 80%
Corporate OfficerBoard Member Jun 1, 2018
Kevin Quinn Individual Corporate OfficerCeo Jan 1, 2023
W-2 Managing EmployeeCeo Jan 1, 2023
Operational/Managerial ControlCeo Jan 1, 2023
Allegiance Health Management Inc Organization, Shreveport, LA Corporation Operational/Managerial Control Jun 1, 2018
Cameron Investments LLC Organization, Shreveport, LA LLC 5% Or Greater Direct Ownership Interest Jun 1, 2018 16%

Facilities with the same owner 53

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

View all 53

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": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1477128288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 W FERTITTA BLVD",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464645",
            "telephone_number": "337-239-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 W FERTITTA BLVD",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464645",
            "telephone_number": "337-239-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLHG-LEESVILLE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLHG-LEESVILLE",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "HIPPLER",
        "authorized_official_first_name": "BRITTANEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR OF CLINIC OPS",
        "authorized_official_telephone_number": "318-315-7093"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesville, LA

Sources for this page

Verify at the official NPI Registry.