Name: | LHCG XXXIV, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 30 Jul 2012 (12 years ago) |
Entity Number: | 000-072-384 |
Register Number: | 000072384 |
ZIP code: | 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 | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1720335680 | 2012-08-10 | 2024-10-22 | PO BOX 51266, LAFAYETTE, LA, 705051266, US | 851 E I65 SERVICE RD S STE 1050, MOBILE, AL, 366063114, US | |||||||||||||||||||||||||
|
Phone | +1 337-233-1307 |
Fax | 3372335764 |
Phone | +1 251-345-1023 |
Fax | 2513451825 |
Authorized person
Name | MR. JOSHUA L. PROFFITT |
Role | PRESIDENT |
Phone | 3372331307 |
Taxonomy
Taxonomy Code | 251G00000X - Community Based Hospice Care Agency |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 149726 |
State | AL |
Name | Role | Address |
---|---|---|
C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
Name | Role | Address |
---|---|---|
LHC GROUP INC | Organizer | 901 HUGH WALLIS ROAD SOUTHLAFAYETTE, LA 70508 |
STELLY, DONALD D | Organizer | 901 HUGH WALLIS RD SLAFAYETTE, LA 70508 |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State