Healthcare Provider Details

I. General information

NPI: 1790206910
Provider Name (Legal Business Name): LHCG CXVIII, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2017
Last Update Date: 11/06/2024
Certification Date: 11/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7301 ROGERS AVE FL 4
FORT SMITH AR
72903-4100
US

IV. Provider business mailing address

1000 CHINABERRY DR STE 200
BOSSIER CITY LA
71111-2443
US

V. Phone/Fax

Practice location:
  • Phone: 479-314-4900
  • Fax: 479-314-4991
Mailing address:
  • Phone: 318-684-6050
  • Fax: 318-684-6051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: CHRIS FOX
Title or Position: GROUP PRESIDENT
Credential:
Phone: 337-247-1801