| Name: | LHCG XXIX, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 17 Feb 2011 (14 years ago) |
| Entity Number: | 000-003-911 |
| Register Number: | 000003911 |
| ZIP code: | 36104 |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Registered Office Street Address: | 2 N JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
Activities
HEALTH CARE SERVICES
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RSBJYGNLHUW1 | 2024-11-14 | 1404 E AVALON AVE STE C, TUSCUMBIA, AL, 35674, 1771, USA | P O BOX 51266, LAFAYETTE, LA, 70505, 1266, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||
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| Congressional District | 04 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2023-11-20 |
| Initial Registration Date | 2023-11-15 |
| Entity Start Date | 2011-04-05 |
| 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 ROAD SOUTH, LAFAYETTE, LA, 70508, 2511, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | DANA NELSON |
| Role | LICENSURE PARALEGAL |
| Address | 901 HUGH WALLIS ROAD SOUTH, LAFAYETTE, LA, 70508, 2511, USA |
| Title | ALTERNATE POC |
| Name | MIA GUIDRY |
| Role | LICENSURE PARALEGAL |
| Address | 901 HUGH WALLIS ROAD SOUTH, LAFAYETTE, LA, 70508, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629376918 | 2011-03-10 | 2020-11-24 | PO BOX 51266, LAFAYETTE, LA, 705051266, US | 1404 E AVALON AVE, SUITE C, TUSCUMBIA, AL, 356741773, US | |||||||||||||||||||||||||
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| Phone | +1 337-233-1307 |
| Fax | 3372335764 |
| Phone | +1 256-314-1204 |
| Fax | 2563141206 |
Authorized person
| Name | MR. NICHOLAS GACHASSIN III |
| Role | SECRETARY / TREASURER |
| Phone | 3372331307 |
Taxonomy
| Taxonomy Code | 251G00000X - Community Based Hospice Care Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 129891 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
| Name | Role | Address |
|---|---|---|
| COLBERT COUNTY-NORTHWEST ALABAMA HEALTHCARE AUTHORITY | Organizer | 1300 SOUTH MONTGOMERY AVENUESHEFFIELD, AL 35660 |
| COLBERT COUNTY NORTHWEST ALABAMA HEALTCARE AUTHORITY | Organizer | 1300 SOUTH MONTGOMERY AVESHEFFIELD, AL 35660 |
Date of last update: 29 Jul 2024
Sources: Alabama Secretary of State
