Organization Active NPI

LHCG XII, LLC

Doing business as Louisiana Extended Care Hospital of Lafayette

  • Skilled Nursing Facility
  • Lafayette, LA
National Provider Identifier
1225534662
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LHCG XII, LLC
Doing business as
Louisiana Extended Care Hospital of Lafayette
Practice address
2810 Ambassador Caffery Pkwy FL 5
Lafayette, LA 70506-5906
Phone
(337) 289-8180
Fax
(337) 233-5764
NPI assigned
Apr 4, 2018
Last updated
Jan 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Chris Fox
Title
Group President
Phone
(337) 247-1801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

2810 Ambassador Caffery Pkwy FL 5
Lafayette, LA 70506-5906

Mailing address

1000 Chinaberry Dr Ste 200
Bossier City, LA 71111-2443
Phone (318) 684-6050

Other names 1

  • Louisiana Extended Care Hospital of Lafayette Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180501000248 LA Part A Provider - Skilled Nursing Facility 8729084272 Practice locations: Lafayette, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225534662. Details of each certification follow.

Skilled nursing facility certification: CCN 195639

Legal name
LHCG XII, LLC
Doing business as
LOUISIANA EXTENDED CARE HOSPITAL OF LAFAYETTE
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Jul 11, 2019
Last certification
Feb 19, 2025
Beds
28
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Sep 8, 2005 in LA
Enrollment address
2810 Ambassador Caffery Pkwy
FL 5
Lafayette, LA 70506-5906
Nursing home name
LOUISIANA EXTENDED CARE HOSPITAL OF LAFAYETTE
Affiliated entity
PRIORITY MANAGEMENT

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Louisiana Extended Care Hospital of LafayetteCCN 195639 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare
Ownership
For profit - Limited Liability company
Certified
Jul 11, 2019
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
2816.2 residents per day on average
Chain
Priority Management38 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
LHCG XII LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1214 Coolidge Blvd
Fl 9
Lafayette, LA 70503
Phone (337) 289-8180

2810 Ambassador Caffery Pkwy
Fl 5
Lafayette, LA 70506
Phone (337) 289-8180

2810 Ambassador Caffery Pkwy
Fl 6
Lafayette, LA 70506
Phone (318) 684-6050

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Robert Christopher Fox Individual 5% Or Greater Indirect Ownership Interest Nov 18, 2024 33.33%
Corporate DirectorGoverning Board/Director Nov 18, 2024
Operational/Managerial Control Nov 18, 2024
Adp of the SNF Nov 18, 2024
Indirect Ownership Interest Nov 18, 2024 33.33%
KLW Assets LLC Organization, Pineville, LA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 18, 2024 33.33%
Indirect Ownership Interest Nov 18, 2024 33.33%
Suzanne Gras Individual Corporate OfficerBilling Office Manager Nov 18, 2024
Operational/Managerial Control Jan 23, 2025
Lauren B Wright Individual 5% Or Greater Indirect Ownership Interest Nov 18, 2024 16.67%
Indirect Ownership Interest Nov 18, 2024 16.67%
Christopher Wright Individual 5% Or Greater Indirect Ownership Interest Nov 18, 2024 16.67%
Corporate DirectorGoverning Board/Director Nov 18, 2024
Operational/Managerial Control Jan 23, 2025
Managing Control - Governing BodyGoverning Board/Director Nov 18, 2024
Indirect Ownership Interest Nov 18, 2024 16.67%
Rice Business Enterprises LLC Organization, Ruston, LA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 18, 2024 10%
Priority Hospital Group LLC Organization, Bossier City, LA LLC, For-profit, Chain home office Operational/Managerial Control Jan 23, 2025
Adp of the SNF Jan 23, 2025
Alexander a Rice Individual 5% Or Greater Indirect Ownership Interest Nov 18, 2024 10.5%
Indirect Ownership Interest Nov 18, 2024 10.5%
Christopher K Rice Individual 5% Or Greater Indirect Ownership Interest Nov 18, 2024 10.5%
Indirect Ownership Interest Nov 18, 2024 10.5%
Julie B Pittman Individual 5% Or Greater Indirect Ownership Interest Nov 18, 2024 5%
Indirect Ownership Interest Nov 18, 2024 5%
PHG - Lafayette LLC Organization, Bossier City, LA Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Nov 18, 2024 100%
Direct Ownership Interest Nov 18, 2024 100%
David a Reed Individual Operational/Managerial Control Nov 18, 2024
Adp of the SNF Nov 18, 2024
B & C Fox Enterprises LLC Organization, Lafayette, LA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 18, 2024 33.33%
Indirect Ownership Interest Nov 18, 2024 33.33%
Mark J. Rice Individual 5% Or Greater Indirect Ownership Interest Nov 18, 2024 7.33%
Corporate DirectorGoverning Board/Director Nov 18, 2024
Operational/Managerial Control Jan 23, 2025
Managing Control - Governing BodyGoverning Board/Director Nov 18, 2024
Adp of the SNF Jan 23, 2025
Indirect Ownership Interest Nov 18, 2024 7.33%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1225534662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CHINABERRY DR STE 200",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112443",
            "telephone_number": "318-684-6050",
            "fax_number": "318-684-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 AMBASSADOR CAFFERY PKWY FL 5",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705065906",
            "telephone_number": "337-289-8180",
            "fax_number": "337-233-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LHCG XII, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-04",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "GROUP PRESIDENT",
        "authorized_official_telephone_number": "337-247-1801"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Louisiana Extended Care Hospital of Lafayette",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Louisiana Extended Care Hospital of Lafayette",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.