NPIMap

Organization Active NPI

Thibodaux Regional Health System Inc

  • General Acute Care Hospital
  • Thibodaux, LA
National Provider Identifier
1902465065
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
THIBODAUX REGIONAL HEALTH SYSTEM INC
Practice address
602 N Acadia Rd
Thibodaux, LA 70301-4823
Phone
(985) 447-5500
Fax
(985) 446-5033
NPI assigned
Jun 11, 2019
Last updated
Jul 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Authorized official

Name
Mr. Jacob A Giardina
Title
Chairman
Phone
(985) 447-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

602 N Acadia Rd
Thibodaux, LA 70301-4823

Mailing address

PO Box 1118
Thibodaux, LA 70302-1118
Phone (985) 447-5500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190910000159 LA Part A Provider - Hospital 7012246549

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902465065. Details of each certification follow.

Hospital certification: CCN 190004

Legal name
THIBODAUX REGIONAL HEALTH SYSTEM INC
Doing business as
THIBODAUX REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jun 15, 1978
Last certification
Jul 26, 2024
Beds
194
Ownership / control type
Private (not for profit)
Most recent change of ownership
Oct 1, 2019 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Nov 13, 2018 in LA
Enrollment address
602 North Acadia Road
Thibodaux, LA 70301-4823
Hospital subgroups
General

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Thibodaux Regional Medical CenterCCN 190004 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Thibodaux Regional Health System Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Gregory Stock Individual Corporate OfficerCeo Oct 1, 2019 50%
W-2 Managing EmployeeCeo Oct 1, 2019 50%
David W Elias Individual Corporate DirectorDirector Nov 13, 2018
Raja S Talluri Individual Corporate DirectorDirector Nov 13, 2018
Jacob Giardina Individual Corporate DirectorDirector Nov 13, 2018
Operational/Managerial ControlDirector Nov 13, 2018
Obie C Hill Individual Corporate DirectorDirector Nov 13, 2018
Harold M Block Individual Corporate Director Mar 18, 2025

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 28

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.

View all 28

Affiliated clinicians 335

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 335

NPI Registry JSON

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1902465065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1118",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703021118",
            "telephone_number": "985-447-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 N ACADIA RD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014823",
            "telephone_number": "985-447-5500",
            "fax_number": "985-446-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIBODAUX REGIONAL HEALTH SYSTEM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A",
        "authorized_official_last_name": "GIARDINA",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "985-447-5500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

Verify at the official NPI Registry.