NPIMap

Organization Active NPI

Christus Health Southwestern Louisiana

  • Rehabilitation Hospital Unit
  • Lake Charles, LA
National Provider Identifier
1801895644
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
Practice address
524 Dr Michael Debakey Dr
Lake Charles, LA 70601-5725
Phone
(337) 436-2511
Fax
(469) 282-1791
NPI assigned
Jul 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Authorized official

Name
Paul Trevino
Title
Ceo
Phone
(409) 899-8191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

Primary practice location

524 Dr Michael Debakey Dr
Lake Charles, LA 70601-5725

Mailing address

PO Box 846039
Dallas, TX 75284-6039
Phone (800) 756-7999

Other identifiers 1

IdentifierTypeStateIssuer
61089OtherLABLUE CROSS REHAB

Other names 2

  • CHRISTUS OCHSNER ST. PATRICK HOSPITAL Doing business as
  • Christus St. Patrick Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071205000291 LA Part A Provider - Hospital 5799695839 Practice locations: Lake Charles, LA

Hospital certification: CCN 19T027

Legal name
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
Doing business as
CHRISTUS OCHSNER ST PATRICK HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Apr 11, 1921 in LA
Enrollment address
524 Dr Michael Debakey Dr
Lake Charles, LA 70601-5725
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 3

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

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Christus St Patrick HospitalCCN 19T027
Ownership
Non-profit
Certified
Jul 1, 1988

National Provider Directory

National Provider Directory
Tax ID family
St Patrick Hospital8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Matthew Block Individual Corporate DirectorBoard Member Jan 1, 2024
Christus Health Organization, Irving, TX Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Feb 1, 1999 60%
James F Davidson Individual Corporate OfficerPresident & Coo Feb 1, 2021
W-2 Managing EmployeePresident & Coo Feb 1, 2021
Charles D Daigle Individual Corporate DirectorBoard Member Jan 1, 2023
Ochsner Clinic Foundation Organization, New Orleans, LA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Sep 1, 2018 40%
Dennis Stine Individual Corporate Director Sep 1, 2018
Sonia Acosta Individual Corporate DirectorCorporate Secretary Sep 16, 2024
Monte Wilson Individual Corporate OfficerCeo Oct 1, 2025
Corporate Director Oct 1, 2025
Nikki Martin Individual Corporate OfficerCfo Jun 22, 2021
Fadi V Nasrallah Individual Corporate DirectorBoard Member Feb 22, 2024

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 118

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

View all 118

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 4

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": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656979200000",
    "number": "1801895644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846039",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752846039",
            "telephone_number": "800-756-7999",
            "fax_number": "469-282-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 DR MICHAEL DEBAKEY DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015725",
            "telephone_number": "337-436-2511",
            "fax_number": "469-282-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTUS HEALTH SOUTHWESTERN LOUISIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "TREVINO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "409-899-8191"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS REHAB",
            "identifier": "61089",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHRISTUS OCHSNER ST. PATRICK HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Christus St. Patrick Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.