Healthcare Provider Details

I. General information

NPI: 1811482821
Provider Name (Legal Business Name): LHCG CXXXXIV, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2018
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9450 DOUBLE R BLVD STE 100
RENO NV
89521-6035
US

IV. Provider business mailing address

901 HUGH WALLIS RD S
LAFAYETTE LA
70508-2511
US

V. Phone/Fax

Practice location:
  • Phone: 775-525-6700
  • Fax: 775-525-5255
Mailing address:
  • Phone: 337-233-1307
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JOSHUA L PROFFITT
Title or Position: PRESIDENT
Credential:
Phone: 337-233-1307