Provider Demographics
NPI: | 1861883183 |
---|---|
Name: | LHCG XLIV, LLC |
Entity type: | Organization |
Organization Name: | LHCG XLIV, LLC |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT, LHC GROUP, INC. |
Authorized Official - Prefix: | |
Authorized Official - First Name: | DONALD |
Authorized Official - Middle Name: | D |
Authorized Official - Last Name: | STELLY |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 337-233-1307 |
Mailing Address - Street 1: | PO BOX 51266 |
Mailing Address - Street 2: | |
Mailing Address - City: | LAFAYETTE |
Mailing Address - State: | LA |
Mailing Address - Zip Code: | 70505-1266 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 337-233-1307 |
Mailing Address - Fax: | 337-233-5764 |
Practice Address - Street 1: | 2529 E 70TH ST |
Practice Address - Street 2: | SUITE 306 |
Practice Address - City: | SHREVEPORT |
Practice Address - State: | LA |
Practice Address - Zip Code: | 71105-4046 |
Practice Address - Country: | US |
Practice Address - Phone: | 318-798-5775 |
Practice Address - Fax: | 318-798-5776 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2015-02-09 |
Last Update Date: | 2015-02-25 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251G00000X | Agencies | Hospice Care, Community Based |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
LA | 191647 | Medicare Oscar/Certification |