NPIMap

Organization Active NPI

Thibodaux Regional Health System Inc

  • Home Health Agency
  • Thibodaux, LA
National Provider Identifier
1912567033
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
THIBODAUX REGIONAL HEALTH SYSTEM INC
Practice address
804 Bayou LN
Thibodaux, LA 70301-4906
Phone
(985) 447-8442
Fax
(985) 447-8442
NPI assigned
Jun 20, 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
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

804 Bayou LN
Thibodaux, LA 70301-4906

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
O20190912001458 LA Part A Provider - Home Health Agency 7012246549 Practice locations: Thibodaux, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912567033. Details of each certification follow.

Home health agency certification: CCN 197187

Legal name
THIBODAUX REGIONAL HEALTH SYSTEM INC
Doing business as
THIBODAUX REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 21, 1985
Last certification
May 31, 2019
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Nov 13, 2018 in LA
Enrollment address
804 Bayou LN
Thibodaux, LA 70301-4906
HHA Branch

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: Home health agency

Medicare Care Compare
Listed as
Home Health Ctr of ThibodauxCCN 197187 · All quality measures
Overall star rating
3.5 of 5
Ownership
Non-Profit
Certified
Jun 21, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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.

Locations

602 N Acadia Rd
Ste 101
Thibodaux, LA 70301
Phone (985) 446-1958

604 N Acadia Rd
Ste 207
Thibodaux, LA 70301
Phone (985) 446-1763

604 N Acadia Rd
Ste 210
Thibodaux, LA 70301
Phone (985) 493-4597

604 N Acadia Rd
Ste 410
Thibodaux, LA 70301
Phone (985) 447-2645

604 N Acadia Rd
Ste 411
Thibodaux, LA 70301
Phone (985) 493-3090

608 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 493-4334

608 N Acadia Rd
Fl 1
Thibodaux, LA 70301
Phone (985) 493-4338

608 N Acadia Rd
Fl 2
Thibodaux, LA 70301
Phone (985) 493-4700

608 N Acadia Rd
Fl 3
Thibodaux, LA 70301
Phone (985) 449-4642

608 N Acadia Rd
Ste 3B
Thibodaux, LA 70301
Phone (985) 493-4490

726 N Acadia Rd
Ste 2100
Thibodaux, LA 70301
Phone (985) 447-2645

726 N Acadia Rd
Ste 3400
Thibodaux, LA 70301
Phone (985) 449-4656

804 Bayou Ln
Thibodaux, LA 70301
Phone (985) 447-8442

Ownership & related parties

All disclosed owners & managing parties 7

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
Bonnie Loker Individual W-2 Managing EmployeeAssistant Cfo Sep 1, 2019 50%
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 DirectorDirector 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.

Change-of-ownership history 1

DateEventCounterparty
Oct 1, 2019 Change of OwnershipThis provider was the buyer Hospital Service District No. 3CCN 197187, LA, NPI 1164436333

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 2

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 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1912567033",
    "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",
            "fax_number": "985-446-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 BAYOU LN",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014906",
            "telephone_number": "985-447-8442",
            "fax_number": "985-447-8442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIBODAUX REGIONAL HEALTH SYSTEM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-20",
        "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": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

Verify at the official NPI Registry.