| Name: | LHCG LXXIX, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 29 Jan 2016 (9 years ago) |
| Entity Number: | 000-351-417 |
| Register Number: | 000351417 |
| ZIP code: | 36104 |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Registered Office Street Address: | 2 N JACKSON STREET, SUITE 605MONTGOMERY, AL 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831556372 | 2016-01-27 | 2020-11-24 | PO BOX 51266, LAFAYETTE, LA, 705051266, US | 111 E LAUREL ST, SCOTTSBORO, AL, 357681801, US | |||||||||||||||||||||||||
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| Phone | +1 337-233-1307 |
| Fax | 3372335764 |
| Phone | +1 256-259-1754 |
| Fax | 2562591790 |
Authorized person
| Name | MR. NICHOLAS GACHASSIN III |
| Role | EXECUTIVE VICE PRESIDENT |
| Phone | 3372331307 |
Taxonomy
| Taxonomy Code | 251G00000X - Community Based Hospice Care Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | PIC1634E |
| State | AL |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
| Name | Role |
|---|---|
| ALABAMA HEALTH CARE GROUP LLC | Member |
| 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: 03 Aug 2024
Sources: Alabama Secretary of State
