Active NPI
Tri Parish Rehabilitation Hospital, LLC
- Family Medicine Physician
- Leesville, LA
National Provider Identifier
1487527339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- TRI PARISH REHABILITATION HOSPITAL, LLC
- Practice address
- 8088 Hawks Rd
Leesville, LA 71446-6649 - Phone
- (337) 462-8880
- NPI assigned
- Sep 26, 2025
- 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
- Charles Matthews
- Title
- Ceo
- Phone
- (337) 254-4535
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
8088 Hawks Rd
Leesville, LA 71446-6649
Mailing address
8088 Hawks Rd
Leesville, LA 71446-6649
Phone (337) 462-8880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090205000516 | LA | Part B Supplier - Clinic/Group Practice | 7113013269 |
1 other NPI on this enrollment Practice locations: Leesville, LA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Rehabilitation Hospital
- Leesville, LA
- NPI 1639213598
7113013269
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Rehabilitation Hospital
- Leesville, LA
- NPI 1639213598
O20090205000516
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758844800000",
"number": "1487527339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8088 HAWKS RD",
"city": "LEESVILLE",
"state": "LA",
"postal_code": "714466649",
"telephone_number": "337-462-8880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8088 HAWKS RD",
"city": "LEESVILLE",
"state": "LA",
"postal_code": "714466649",
"telephone_number": "337-462-8880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI PARISH REHABILITATION HOSPITAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-26",
"last_updated": "2025-09-26",
"certification_date": "2025-09-26",
"status": "A",
"authorized_official_last_name": "MATTHEWS",
"authorized_official_first_name": "CHARLES",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "337-254-4535"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.