Healthcare Provider Details
I. General information
NPI: 1730595307
Provider Name (Legal Business Name): LHCG LVII, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/03/2014
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1325 S COLORADO BLVD STE B309
DENVER CO
80222-3314
US
IV. Provider business mailing address
901 HUGH WALLIS RD S
LAFAYETTE LA
70508-2511
US
V. Phone/Fax
- Phone: 303-369-7063
- Fax: 303-751-5401
- Phone: 337-233-1307
- Fax: 337-233-5764
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOSHUA
L.
PROFFITT
Title or Position: PRESIDENT
Credential:
Phone: 337-233-1307