MEDICARE: LHCG XXXIV, 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	251G00000X	Community Based Hospice Care Agency

Other Identifiers

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

General Provider Information

NPI Number	:	1720335680
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LHCG XXXIV, 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	:	851 E I65 SERVICE RD S STE 1050
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36606-3114
Country	:	US
Telephone Number	:	251-345-1023
Fax Number	:	251-345-1825

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JOSHUA L. PROFFITT
Credential	:
Telephone Number	:	337-233-1307

Provider Enumeration Date	:	08/10/2012
Last Update Date	:	10/22/2024

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Directions to “LHCG XXXIV, LLC ” Practice Location

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