Organization Active NPI

Tri Parish Rehabilitation Hospital, LLC

Doing business as ClearSky Rehabilitation Hospital of Rosepine

  • Rehabilitation Hospital
  • Leesville, LA
National Provider Identifier
1639213598
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
408 Issued in LA
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1766577MedicaidLA
60096OtherLABLUE CROSS BLUE SHIELD

Other names 2

  • ClearSky Rehabilitation Hospital of Rosepine Doing business as
  • Titan Rehabilitation Hospital of Rosepine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
Incorporated
Jun 26, 1998 in LA
Enrollment address
8088 Hawks Rd
Leesville, LA 71446-6649
Main/Primary Hospital Location
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).

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
Titan Rehabilitation Hospital of RosepineCCN 193050 · All quality measures
Ownership
For profit
Certified
Sep 9, 1998
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Rehabilitation Hospital of Leesville LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

NameRoleSinceShare
Anita Thibodeaux Individual W-2 Managing EmployeeAd; Oct 21, 2024 100%
Charles L Matthews Individual 5% Or Greater Indirect Ownership InterestCeo Oct 1, 2024 100%
Corporate DirectorCeo Oct 1, 2024 100%
Titan Rehabilitation Institute of America, LLC Organization, Lafayette, LA Created for acquisition, Holding company, Owned by another organization or individual 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.

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.

Affiliated clinicians 1

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": "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

Verify at the official NPI Registry.