| Name: | LHCG LXIV, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 09 Sep 2014 (10 years ago) (Companies founded in September 2014) |
| Entity Number: | 000-317-834 |
| Register Number: | 000317834 |
| 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
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700287497 | 2014-09-12 | 2020-12-31 | PO BOX 51266, LAFAYETTE, LA, 705051266, US | 798 HIGHWAY 231 S, TROY, AL, 360813101, US | |||||||||||||||||||||||||
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| Phone | +1 337-233-1307 |
| Fax | 3372335764 |
| Phone | +1 334-403-4520 |
| Fax | 3344034519 |
Authorized person
| Name | MR. NICHOLAS GACHASSIN III |
| Role | SECRETARY |
| Phone | 3372331307 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 171231 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
| Name | Role | Address |
|---|---|---|
| STELLY, DONALD | Organizer | 420 W PINHOOK RDLAFAYETTE, LA 70503 |
| PROFFITT, JOSHUA | Organizer | 420 W PINHOOK RDLAFAYETTE, LA 70503 |
| GRIMES, TERESA | Organizer | 420 W PINHOOK RDLAFAYETTE, LA 70503 |
| MINOR, AMY | Organizer | 420 W PINHOOK RDLAFAYETTE, LA 70503 |
| STELLY, DONALD D | Organizer | 901 HUGH WALLIS RD SLAFAYETTE, LA 70508 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
