Active NPI
LHCG Ccxiii, LLC
- Nurse Practitioner
- Alexandria, LA
National Provider Identifier
1174288583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- LHCG CCXIII, LLC
- Practice address
- 6501 Coliseum Blvd Ste 700F
Alexandria, LA 71303-3977 - Phone
- (318) 319-2246
- Fax
- (318) 319-2247
- NPI assigned
- Nov 2, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joshua L Proffitt
- Title
- President
- Phone
- (337) 233-1307
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | |||
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
6501 Coliseum Blvd Ste 700F
Alexandria, LA 71303-3977
Mailing address
PO Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307
Other names 1
- CHRISTUS Palliative Care St. Frances Cabrini
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6501 Coliseum Blvd
Ste 700F
Alexandria, LA 71303
Phone (318) 319-2246
4801 Jackson Street Ext
Alexandria, LA 71303
Phone (318) 319-2246
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- Many, LA
- NPI 1205685989
-
- Family Nurse Practitioner
- Lafayette, LA
- NPI 1730475344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719273600000",
"number": "1174288583",
"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": "337-443-4154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6501 COLISEUM BLVD STE 700F",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713033977",
"telephone_number": "318-319-2246",
"fax_number": "318-319-2247"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LHCG CCXIII, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-02",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A",
"authorized_official_last_name": "PROFFITT",
"authorized_official_first_name": "JOSHUA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "337-233-1307"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CHRISTUS Palliative Care St. Frances Cabrini",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "CHRISTUS Palliative Care St. Frances Cabrini",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.