Healthcare Provider Details

I. General information

NPI: 1912567033
Provider Name (Legal Business Name): THIBODAUX REGIONAL HEALTH SYSTEM INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2019
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

804 BAYOU LN
THIBODAUX LA
70301-4906
US

IV. Provider business mailing address

PO BOX 1118
THIBODAUX LA
70302-1118
US

V. Phone/Fax

Practice location:
  • Phone: 985-447-8442
  • Fax: 985-447-8442
Mailing address:
  • Phone: 985-447-5500
  • Fax: 985-446-5033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. JACOB A GIARDINA
Title or Position: CHAIRMAN
Credential:
Phone: 985-447-5500