MEDICARE: LHCG L, 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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1467871210
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LHCG L, 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	:	1001 NAVAHO DR STE 150
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27609-7368
Country	:	US
Telephone Number	:	919-662-1635
Fax Number	:	919-662-1551

Authorized Official
Title or Position	:	EXECUTIVE VICE PRESIDENT
Name	:	MR. NICHOLAS GACHASSIN III
Credential	:
Telephone Number	:	337-233-1307

Provider Enumeration Date	:	04/09/2014
Last Update Date	:	08/05/2022

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