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LHCG LI, LLC

Details

Name: LHCG LI, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 19 Dec 2013 (11 years ago) (Companies founded in December 2013)
Entity Number: 000-293-616
Register Number: 000293616
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Montgomery County
Principal Address: 420 WEST PINHOOK RDLAFAYETTE, LA 70503
Registered Office Street Address: 2 N JACKSON STREET, SUITE 605MONTGOMERY, AL 36104

Activities HEALTHCARE SERVICES

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
UYHJB3XQQF63 2024-10-22 1806 44TH ST, VALLEY, AL, 36854, 3441, USA PO BOX 51266, LAFAYETTE, LA, 70505, 1266, USA

Business Information

Congressional District 03
State/Country of Incorporation AL, USA
Activation Date 2023-11-01
Initial Registration Date 2023-10-23
Entity Start Date 2014-02-01
Fiscal Year End Close Date Dec 31

Service Classifications

NAICS Codes 621610

Points of Contacts

Electronic Business
Title PRIMARY POC
Name TAMMY LANTHIER
Role REVENUE CYCLE
Address 901 HUGH WALLIS RD SOUTH, LAFAYETTE, LA, 70508, USA
Government Business
Title PRIMARY POC
Name MIA GUIDRY
Role PARALEGAL
Address 901 HUGH WALLIS RD SOUTH, LAFAYETTE, LA, 70508, USA
Past Performance Information not Available

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1134541360 2014-01-07 2024-05-24 PO BOX 51266, LAFAYETTE, LA, 705051266, US 1806 44TH ST, VALLEY, AL, 368543441, US

Contacts

Phone +1 337-233-1307
Fax 3372335764
Phone +1 334-756-1950

Authorized person

Name MR. JOSHUA L. PROFFITT
Role PRESIDENT
Phone 3372331307

Taxonomy

Taxonomy Code 251E00000X - Home Health Agency
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 162567
State AL

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104

Organizer

Name Role Address
STELLY, DONALD D Organizer 901 HUGH WALLIS RD SLAFAYETTE, LA 70508

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State