Basic Information
Provider Information
NPI: 1063094704
EntityType: 2
ReplacementNPI:  
OrganizationName: LHCG CXXXVII, LLC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 51266
Address2:  
City: LAFAYETTE
State: LA
PostalCode: 705051266
CountryCode: US
TelephoneNumber: 3372331307
FaxNumber: 3374434154
Practice Location
Address1: 6951 VIRGINIA PKWY STE 100
Address2:  
City: MCKINNEY
State: TX
PostalCode: 750715715
CountryCode: US
TelephoneNumber: 8174175344
FaxNumber: 8174174745
Other Information
ProviderEnumerationDate: 04/22/2021
LastUpdateDate: 04/22/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: GACHASSIN
AuthorizedOfficialFirstName: NICHOLAS
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: SECRETARY / TREASURER
AuthorizedOfficialTelephone: 3372331307
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix: III
AuthorizedOfficialCredential:  
NPICertificationDate: 04/13/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
251E00000X  Y AgenciesHome Health 

No ID Information.


Home