LHCG-XII, LLC (NPI# 1548360696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548360696 |
| Entity Type | Organization |
| Organization Name | LHCG-XII, LLC |
| Other Organization Name | LOUISIANA EXTENDED CARE HOSPITAL OF LAFAYETTE |
| Practice Address |
2810 Ambassador Caffery Pkwy Fl 6 Lafayette LA 70506-5906 |
| Mailing Address |
Po Box 51266 Lafayette LA 70505-1266 |
| Practice Telephone | 3372898180 |
| Mailing Telephone | 3372331307 |
| Mailing Fax Number | 3372335764 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2018-06-19 |
| Authorized Official Name | MR. DONALD D STELLY (PRESIDENT) |
| Authorized Official Telephone | 3372331307 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | BLUE CROSS BLUE SHIELD OF | 190061430Z | 01 |
| LA | 1700665 | 05 |
| Other Name | Type Code |
|---|---|
| Louisiana Extended Care Hospital of Lafayette | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1214 Coolidge Blvd, 9th Floor, Lafayette, LA 705032621 | 3372898180 | 3372898181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255540662 | Lhcg-xii, LLC | General Acute Care Hospital | 3879 Highway 190, Eunice, LA 70535-7900 | 2007-05-22 |
| 1508075912 | Lhcg-xii, LLC | General Acute Care Hospital | 2315 E Main St, 3rd Floor, New Iberia, LA 70560-4031 | 2007-05-22 |
| Street Address |
2810 AMBASSADOR CAFFERY PKWY FL 6 |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70506-5906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417421447 | Maranda Washington | Student in an Organized Health Care Education/Training Program | 202 Reinhardt Drive, Lafayette, LA 70506 | 2019-01-12 |
| 1447742473 | Glenda Gravouilla Poulan | Driver | 330 Guilbeau Rd, Lafayette, LA 70506 | 2018-06-05 |
| 1194215905 | Angelica Plumbar | Case Manager/Care Coordinator | 1304 Bertrand Dr Ste B21304, Lafayette, LA 70506 | 2018-05-16 |
| 1801394820 | Acadiana Ambulatory Health Care Services | Non-Pharmacy Dispensing Site | 207 Westmark Blvd., Lafayette, LA 70506 | 2018-01-24 |
| 1578070041 | Kimberly Lois Robinson | Counselor | 203 Pinto St, Lafayette, LA 70506 | 2018-01-05 |
| 1558890814 | Shanece Marie Solomon | Speech-Language Pathologist | 326 Guilbeau Rd Apt 240, Lafayette, LA 70506 | 2017-06-08 |
| 1225565625 | Keena Lewis | Case Manager/Care Coordinator | 121 Kohen Luke Dr, Lafayette, LA 70506 | 2017-05-16 |
| 1326571498 | Natasha Deville | Community/Behavioral Health | 1408 W Willow St 162, Lafayette, LA 70506 | 2017-04-06 |
| 1952846826 | Mia D Arthur | Behavioral Analyst | 511 Monarch Dr, Lafayette, LA 70506 | 2016-12-30 |
| 1265983340 | Eric Prince | Specialist/Technologist | 202 Reinhardt Dr., Lafayette, LA 70506 | 2016-10-24 |
| Find all providers in zip 70506 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952465205 | St Luke's Specialty Hospital of Sunset, LLC | Long Term Care Hospital | 2500 East Simcoe, Lafayette, LA 70508 | 2006-12-21 |
| 1891757670 | Lafayette Community Rehabilitation Hospital, LLC | Long Term Care Hospital | 408 Se Evangeline Thruway, Lafayette, LA 70501 | 2006-04-05 |
| 1174025043 | Sage Specialty Hospital of Lafayette LLC | Long Term Care Hospital | 204 Energy Pkwy, Lafayette, LA 70508-3816 | 2018-03-06 |
| 1962841197 | Post Acute Specialty Hospital of Lafayette LLC | Long Term Care Hospital | 204 Energy Pkwy, Lafayette, LA 70508-3816 | 2013-06-20 |
| 1205075181 | Ltac of Louisiana, LLC | Long Term Care Hospital | 4811 Ambassador Caffery Pkwy Fl 4, Lafayette, LA 70508-7265 | 2009-02-17 |
| 1699881847 | Ltac of Acadiana | Long Term Care Hospital | 310 Youngsville Hwy, Lafayette, LA 70508-4524 | 2006-08-21 |
| 1386699684 | St. Vincent Seton Specialty Hospital, Inc. | Long Term Care Hospital | 1501 Hartford St, Lafayette, IN 47904-2134 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033777479 | Northshore Extended Care Hospital, LLC | Long Term Care Hospital | 64030 La 434, Lacombe, LA 70445 | 2019-05-31 |
| 1528622065 | Intensive Specialty Hospital, LLC | Long Term Care Hospital | 1800 Irving Pl Ste 100, Shreveport, LA 71101-4608 | 2019-04-30 |
| 1639641764 | Bliant Specialty Hospital, LLC | Long Term Care Hospital | 14500 Hayne Blvd Ste 100, New Orleans, LA 70128-1751 | 2018-12-31 |
| 1881162337 | Bridgepoint Healthcare Louisiana LLC | Long Term Care Hospital | 4200 Houma Blvd Fl 5, Metairie, LA 70006-2970 | 2018-11-02 |
| 1902308349 | Curahealth New Orleans, LLC | Long Term Care Hospital | 1441 Lindberg Dr, Suite 150, Slidell, LA 70458-8056 | 2018-03-01 |
| 1861915415 | Integra Health Services Professional Corporation | Long Term Care Hospital | 1110 Ringgold Ave Ste B, Coushatta, LA 71019-9004 | 2017-07-25 |
| 1962924001 | Lhcg Cxx, LLC | Long Term Care Hospital | 3330 Masonic Dr Fl 4, Alexandria, LA 71301-3841 | 2017-07-11 |
| 1407207632 | Bridgepoint Healthcare Louisiana LLC | Long Term Care Hospital | 1101 Medical Center Blvd Fl 7, Marrero, LA 70072-3147 | 2016-06-29 |
| 1386016848 | 999999 | Long Term Care Hospital | 1013 N Causeway Blvd Ste 201, Metairie, LA 70001-4100 | 2015-10-23 |
| 1891015251 | Ebonyslacewigs | Long Term Care Hospital | 1790 Pratt Dr, New Orleans, LA 70122-2408 | 2010-06-08 |
| Find all providers with the same taxonomy | ||||
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| 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.