Thibodaux Community Home

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

19G639 Issued in LA

Legal business name

THIBODAUX COMMUNITY HOME

Practice address

1200 Jefferson St
Thibodaux, LA 70301-2238

Phone

(337) 546-0667

Fax

(337) 546-6827

NPI assigned

Oct 13, 2010

Last updated

Oct 13, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

SOUTH LOUISIANA COMMUNITY HOMES, INC.As reported in NPPES

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

Authorized official

Name

Mr. Frankie Joseph Lafleur

Title

Owner

Phone

(337) 546-0667

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841500774. Details of each certification follow.

• CCN 19G147 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 19G147

Legal name

Peltier Community Home

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Aug 16, 1984

Last certification

Dec 16, 2025

Beds

6

Ownership / control type

Private (non-profit)

Facility address

1200 Jefferson Street
Thibodaux, LA 70301

Tax ID family

Labadieville Community Home5 organizations share this tax ID, including this one

Part of

Labadieville Community Home

Other organizations with this tax ID 4

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

• Arms Community Home

  • Intellectual Disabilities Intermediate Care Facility
  • Thibodaux, LA
  • NPI 1053621433
  NPD tax ID
• Fairway Community Home

  • Intellectual Disabilities Intermediate Care Facility
  • Thibodaux, LA
  • NPI 1962712356
  NPD tax ID
• Labadieville Community Home

  • Intellectual Disabilities Intermediate Care Facility
  • Thibodaux, LA
  • NPI 1770893695
  NPD tax ID
• South Louisiana Community Home Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Thibodaux, LA
  • NPI 1922317890
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1841500774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 DAN DR",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705356860",
            "telephone_number": "337-546-0667",
            "fax_number": "337-546-6827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 JEFFERSON ST",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703012238",
            "telephone_number": "337-546-0667",
            "fax_number": "337-546-6827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIBODAUX COMMUNITY HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH LOUISIANA COMMUNITY HOMES, INC.",
        "enumeration_date": "2010-10-13",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "LAFLEUR",
        "authorized_official_first_name": "FRANKIE",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-546-0667",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "LA",
            "license": "19G639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Recovery Room, LLC
• Budd Joseph Theriot
• Kidd Theriot, BS
• Thibodaux Addictive Disorders Clinic
• Thibodaux Behavioral Health, LLC.
• Thibodaux Emergency Physicians Group LLC
• Thibodaux Endoscopy LLC
• Thibodaux Internal Medicine Associates,Inc.
• Thibodaux Laser and Surgery Center, LLC
• Thibodaux Laser and Surgery Center, LLC

• Intellectual Disabilities Intermediate Care Facility in Thibodaux, LA
• Providers in Thibodaux, LA by specialty
• Intellectual Disabilities Intermediate Care Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.