LHCG Lxvi, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

LHCG LXVI, LLC

Practice address

308 E Pearl St
Suite 301
Jackson, MS 39201-3419

Phone

(601) 949-8900

Fax

(601) 961-3098

NPI assigned

Apr 6, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Donald D Stelly

Title

President, LHC Group, Inc.

Phone

(337) 233-1307

Specialties & licenses 1

Addresses

Other names 1

• Mississippi Hospice Doing business as

Tax ID family

LHCG Lxvi LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• LHCG Lxvi, LLC

  • Community Based Hospice Care Agency
  • Holly Springs, MS
  • NPI 1114312212
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1104211200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307",
            "fax_number": "337-233-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 E PEARL ST",
            "address_2": "SUITE 301",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392013419",
            "telephone_number": "601-949-8900",
            "fax_number": "601-961-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LHCG LXVI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-06",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "STELLY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT, LHC GROUP, INC.",
        "authorized_official_telephone_number": "337-233-1307"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mississippi Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tara Clare Lewis, MD
• Virginia Denise Lewis, PMHNP
• Willie James Lewis Sr., D.P.M.
• Alyssa Case Lewman, NP
• LHC Medical Supplies
• Xuan Li, MD
• Christine Rose Liberto
• Vincent Liberto, M.D.
• Liberty Connection LLC
• Kentrell Marie Liddell, M.D.

• Community Based Hospice Care Agency in Jackson, MS
• Providers in Jackson, MS by specialty
• Community Based Hospice Care Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.