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NPI Code Detail

MEDICARE: LHCG XVI, LLC

MEDICARE: LHCG XVI, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053645598
Entity Type Code : Organization
Provider Name (Legal Business Name) : LHCG XVI, LLC
Provider Business Mailing Address
First Line : PO BOX 51266
Second Line :
City : LAFAYETTE
State : LA
Zip : 70505-1266
Country : US
Telephone Number : 337-233-1307
Fax Number : 337-233-5764
Provider Business Practice Location Address
First Line : 1215 INDEPENDENCE BLVD, BLDG 3,
Second Line : SUITE B
City : ZACHARY
State : LA
Zip : 70791-7390
Country : US
Telephone Number : 225-683-3347
Fax Number : 225-683-1278
Authorized Official
Title or Position : PRESIDENT
Name : JOSHUA L. PROFFITT
Credential :
Telephone Number : 337-233-1307
Provider Enumeration Date : 10/01/2009
Last Update Date : 09/04/2024

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