Active NPI
Tri Parish Rehabilitation Hospital, LLC
Doing business as ClearSky Rehabilitation Hospital of Rosepine
- Rehabilitation Hospital
- Leesville, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital
- License
- 408
- Legal business name
- TRI PARISH REHABILITATION HOSPITAL, LLC
- Doing business as
- ClearSky Rehabilitation Hospital of Rosepine
Titan Rehabilitation Hospital of Rosepine - Practice address
- 8088 Hawks Rd
Leesville, LA 71446-6649 - Phone
- (337) 462-8880
- Fax
- (337) 462-8818
- NPI assigned
- Feb 16, 2007
- Last updated
- 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 |
|---|---|---|---|---|
| Rehabilitation Hospital | 283X00000X | 408 | LA | 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
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1766577 | Medicaid | LA | |
| 60096 | Other | LA | BLUE CROSS BLUE SHIELD |
Other names 2
- ClearSky Rehabilitation Hospital of Rosepine
- Titan Rehabilitation Hospital of Rosepine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071019000555 | LA | Part A Provider - Hospital | 7113013269 | Practice locations: Leesville, LA |
| O20090205000516 | LA | Part B Supplier - Clinic/Group Practice | 7113013269 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Leesville, LA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1639213598. Details of each certification follow.
Hospital certification: CCN 193050
- Legal name
- TRI PARISH REHABILITATION HOSPITAL, LLC
- Doing business as
- TITAN REHABILITATION HOSPITAL OF ROSEPINE
- Certification status
- Active
- Provider type (POS)
- Hospital – Rehabilitation
- Participating since
- Sep 9, 1998
- Last certification
- Aug 13, 2022
- Beds
- 20
- Ownership / control type
- Private (for profit)
- Organization structure
- LLC
- Incorporated
- Jun 26, 1998 in LA
- Enrollment address
- 8088 Hawks Rd
Leesville, LA 71446-6649 - Hospital subgroups
- Rehabilitation
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Family Medicine Physician
- Leesville, LA
- NPI 1487527339
7113013269
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Family Medicine Physician
- Leesville, LA
- NPI 1487527339
O20090205000516
Care Compare: Inpatient rehabilitation facility
Medicare Care Compare- Listed as
- Titan Rehabilitation Hospital of Rosepine
- Ownership
- For profit
- Certified
- Sep 9, 1998
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- Rehabilitation Hospital of Leesville LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba ClearSky Rehabilitation Hospital of Leesville
- Rehabilitation Hospital
- Leesville, LA
- NPI 1992124697
Ownership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Anita Thibodeaux | W-2 Managing Employee | Oct 21, 2024 | 100% |
| Charles L Matthews | 5% Or Greater Indirect Ownership Interest | Oct 1, 2024 | 100% |
| Corporate Director | Oct 1, 2024 | 100% | |
| Titan Rehabilitation Institute of America, LLC | 5% Or Greater Direct Ownership Interest | Oct 1, 2024 | 100% |
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba ClearSky Rehabilitation Hospital of Leesville
- Rehabilitation Hospital
- Leesville, LA
- NPI 1992124697
Titan Rehabilitation Institute of America, LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Leesville, LA
- NPI 1326294745
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Leesville, LA
- NPI 1326294745
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758844800000",
"number": "1639213598",
"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",
"fax_number": "337-462-8818"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI PARISH REHABILITATION HOSPITAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-16",
"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": "283X00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Hospital",
"state": "LA",
"license": "408",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1766577",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "60096",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ClearSky Rehabilitation Hospital of Rosepine",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Titan Rehabilitation Hospital of Rosepine",
"code": "3",
"type": "Doing Business As"
}
]
}
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; 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.