LHCG-XII, LLC (NPI# 1508075912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508075912 |
| Entity Type | Organization |
| Organization Name | LHCG-XII, LLC |
| Other Organization Name | IBERIA EXTENDED CARE HOSPITAL |
| Practice Address |
2315 E Main St 3rd Floor New Iberia LA 70560-4031 |
| Mailing Address |
420 W Pinhook Rd Suite A Lafayette LA 70503-2131 |
| Practice Telephone | 3373691100 |
| Practice Fax Number | 3373691122 |
| Mailing Telephone | 3372331307 |
| Mailing Fax Number | 3372335764 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2008-04-11 |
| Authorized Official Name | MR. JOHN L. INDEST (PRESIDENT AND COO) |
| Authorized Official Telephone | 3372331307 |
| Is Organization Subpart | Y |
| Parent Organization Name | LHCG-XII, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 607-A | LA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1700665 | 05 |
| Other Name | Type Code |
|---|---|
| Iberia Extended Care Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255540662 | Lhcg-xii, LLC | General Acute Care Hospital | 3879 Highway 190, Eunice, LA 70535-7900 | 2007-05-22 |
| 1548360696 | Lhcg-xii, LLC | Long Term Care Hospital | 2810 Ambassador Caffery Pkwy Fl 6, Lafayette, LA 70506-5906 | 2006-09-25 |
| Street Address |
2315 E MAIN ST 3RD FLOOR |
| City | NEW IBERIA |
| State | LA |
| Zip Code | 70560-4031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265404909 | Richard Andrew Vanbergen | Radiology | 2315 E Main St, New Iberia, LA 70560-4031 | 2006-02-06 |
| 1467013284 | Alyssa Marie Ledet | Nurse Practitioner | 2315 E Main St, New Iberia, LA 70560-4031 | 2019-06-24 |
| 1184283236 | Christopher B Staggers | Nurse Practitioner | 2315 E Main St, New Iberia, LA 70560-4031 | 2019-06-12 |
| 1285293464 | Rebekah J Schmieder | Nurse Practitioner | 2315 E Main St, New Iberia, LA 70560-4031 | 2019-06-11 |
| 1841785102 | Wade Dewayne Alexander | Nurse Practitioner | 2315 E Main St, New Iberia, LA 70560-4031 | 2018-06-28 |
| 1922529692 | Justin Rozas II | Nurse Practitioner | 2315 E Main St, New Iberia, LA 70560-4031 | 2017-07-03 |
| 1821487059 | Dustin Seth Guillotte | Nurse Practitioner | 2315 E Main St, New Iberia, LA 70560-4031 | 2015-01-12 |
| 1396150785 | Main Street Physician Services LLC | Physical Medicine & Rehabilitation | 2315 E Main St, New Iberia, LA 70560-4031 | 2014-06-25 |
| 1750796041 | Main Street Emergency Group LLC | Physician Assistant | 2315 E Main St, New Iberia, LA 70560-4031 | 2014-06-25 |
| 1598190373 | Lorri Anne Price | Nurse Practitioner | 2315 E Main St, New Iberia, LA 70560-4031 | 2013-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316578289 | Kelly Koch | Speech-Language Pathologist | 3919 Highway 14, New Iberia, LA 70560 | 2020-01-30 |
| 1043791262 | Mark Gray | Case Manager/Care Coordinator | 4601 E Admiral Doyle Dr, New Iberia, LA 70560 | 2018-08-25 |
| 1215418512 | Jada Renee Delahoussaye | Case Manager/Care Coordinator | 324 Copper Rd, New Iberia, LA 70560 | 2018-08-24 |
| 1639665334 | Sarah D. Lalande | Audiologist | 2308 E Main St Ste B, New Iberia, LA 70560 | 2018-07-05 |
| 1447766142 | Kirston Gardner | Counselor | 902 Jefferson Ter Ste D, New Iberia, LA 70560 | 2017-12-18 |
| 1902334048 | Keithlyn James | Counselor | 902 Jefferson Ter Ste E, New Iberia, LA 70560 | 2017-06-02 |
| 1619424926 | Dialysis Clinic Inc | Clinic/Center | 2708 E. Main St, New Iberia, LA 70560 | 2016-09-02 |
| 1720433477 | Theresa Armstead | Counselor | 1614 East Main St., Ste D, 36o Mental Health, LLC, New Iberia, LA 70560 | 2016-05-02 |
| 1033564711 | Johonnah Metzel | Case Manager/Care Coordinator | 209 W Main St Ste 200, New Iberia, LA 70560 | 2016-04-29 |
| 1508241969 | Sworoop Thomas John | Internal Medicine | 2315 East Main Street, Medical Staff Office, New Iberia, LA 70560 | 2015-07-28 |
| Find all providers in zip 70560 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518265297 | Iberia Medical Center Physician Practice Network | General Acute Care Hospital | 2315 E Main St, New Iberia, LA 70560-4031 | 2011-03-04 |
| 1780690180 | Hospital Service District No. 1 of Iberia Parish | General Acute Care Hospital | 2315 E Main St, New Iberia, LA 70560-4031 | 2006-07-31 |
| 1144274127 | Progressive Acute Care Dauterive, LLC | General Acute Care Hospital | 600 N Lewis St, New Iberia, LA 70563-2043 | 2006-05-22 |
| 1285601088 | Hospital Service District No. 1 of Iberia Parish | General Acute Care Hospital | 2315 E Main St, New Iberia, LA 70560 | 2006-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962024620 | The Carpenter Center for Palliative Medicine of Lafayette, LLC | General Acute Care Hospital | 923 West Pinhook Road, Lafayette, LA 70503 | 2020-05-15 |
| 1033746599 | Just Health | General Acute Care Hospital | 1 Galleria Blvd Ste 1100, Metairie, LA 70001-7534 | 2020-03-25 |
| 1861046112 | Lafayette General Medical Center Inc | General Acute Care Hospital | 1213 Coolidge Street, Lafayette, LA 70503 | 2019-07-25 |
| 1245707884 | Prairieville Emergency Physicians, Pllc | General Acute Care Hospital | 37358 Market Place Dr., Prairieville, LA 70769 | 2018-11-01 |
| 1902310899 | Islam LLC | General Acute Care Hospital | 9815 Paragon Ln, Shreveport, LA 71115 | 2017-11-30 |
| 1669998852 | Amd Healthcare Lc, LLC | General Acute Care Hospital | 3730 Nelson Road, Lake Charles, LA 70605 | 2017-08-18 |
| 1275081465 | East Jefferson General Hospital | General Acute Care Hospital | 3726 Houma Blvd, Metairie, LA 70006-4116 | 2016-09-15 |
| 1194273508 | Deana Leonard | General Acute Care Hospital | 173 Rue De Levert, Raceland, LA 70394-2057 | 2016-09-14 |
| 1295100071 | Borne 2b-np,llc | General Acute Care Hospital | 28672 Berry Todd Rd, Lacombe, LA 70445-3750 | 2015-12-05 |
| 1740658525 | Greenlight Transportation | General Acute Care Hospital | 7170 Pinebrook Dr, New Orleans, LA 70128-4623 | 2015-09-09 |
| Find all providers with the same taxonomy | ||||
| City | NEW IBERIA |
| Zip Code | 70560 |
Please comment or provide details below to improve the information on LHCG-XII, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.