LHCG-XII, LLC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

607-A Issued in LA

Legal business name

LHCG-XII, LLC

Doing business as

Iberia Extended Care Hospital

Practice address

2315 E Main St
3Rd Floor
New Iberia, LA 70560-4031

Phone

(337) 369-1100

Fax

(337) 369-1122

NPI assigned

May 22, 2007

Last updated

Apr 11, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

LHCG-XII, LLCAs reported in NPPES

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

Authorized official

Name

Mr. John L. Indest

Title

President and Coo

Phone

(337) 233-1307

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Iberia Extended Care Hospital Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508075912. Details of each certification follow.

• CCN 192032 Hospital · Active · Details

Hospital certification: CCN 192032

Legal name

LHCG XII, LLC

Doing business as

LOUISIANA EXTENDED CARE HOSPITAL OF LAFAYETTE

Certification status

Active

Provider type (POS)

Hospital – Long-term

Participating since

Jan 1, 2002

Last certification

Jul 13, 2022

Beds

76

Ownership / control type

Private (for profit)

Most recent change of ownership

Sep 29, 2006 (2 total)

Organization structure

LLCProprietary

Incorporated

Sep 8, 2005 in LA

Enrollment address

2810 Ambassador Caffery Pkwy
FL 6
Lafayette, LA 70506-5906
Other Hospital Practice Location

Hospital subgroups

Long-term

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• LHCG XII, LLC

  dba Louisiana Extended Care Hospital of Lafayette

  • Long Term Care Hospital
  • Lafayette, LA
  • NPI 1548360696

  O20061006000169

  Same enrollment
• LHCG-XII, LLC

  dba Eunice Extended Care Hospital

  • General Acute Care Hospital
  • Eunice, LA
  • NPI 1255540662

  O20061006000169

  Same enrollment

Listed as

Louisiana Extended Care Hospital of LafayetteCCN 192032 · All quality measures

Ownership

For profit

Certified

Jan 1, 2002

Medicare certification status

ActiveFrom the Provider of Services file

Beds

84

Part of

LHCG XII LLC

All disclosed owners & managing parties 16

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

Affiliated clinicians 8

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

• Robert Joseph Aertker III, M.D.

  • Internal Medicine Physician
  • Crowley, LA
  • NPI 1780877944

  Long-term care hospital

  Care Compare affiliation
• Stephen R Cannon, MD

  • Family Medicine Physician
  • Crowley, LA
  • NPI 1083777908

  Long-term care hospital

  Care Compare affiliation
• Garth Thesieger King, MD

  • Internal Medicine Physician
  • Sulphur, LA
  • NPI 1598775355

  Long-term care hospital

  Care Compare affiliation
• David Ashton Reed, M.D.

  • Internal Medicine Physician
  • Lafayette, LA
  • NPI 1518214923

  Long-term care hospital

  Care Compare affiliation
• Quentin D Romero, M.D.

  • Internal Medicine Physician
  • Jennings, LA
  • NPI 1740291921

  Long-term care hospital

  Care Compare affiliation
• Claire Trahan Ronkartz, MD

  • Family Medicine Physician
  • Crowley, LA
  • NPI 1447677711

  Long-term care hospital

  Care Compare affiliation
• Satinder Saini, M.D.

  • Internal Medicine Physician
  • Crowley, LA
  • NPI 1770634461

  Long-term care hospital

  Care Compare affiliation
• Nancy Briley Walker, M.D.

  • Family Medicine Physician
  • Crowley, LA
  • NPI 1235279043

  Long-term care hospital

  Care Compare affiliation

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1508075912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W PINHOOK RD",
            "address_2": "SUITE A",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032131",
            "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": "2315 E MAIN ST",
            "address_2": "3RD FLOOR",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604031",
            "telephone_number": "337-369-1100",
            "fax_number": "337-369-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LHCG-XII, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LHCG-XII, LLC",
        "enumeration_date": "2007-05-22",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "INDEST",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT AND COO",
        "authorized_official_telephone_number": "337-233-1307",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "LA",
            "license": "607-A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700665",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iberia Extended Care Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Acute Care Hospital in New Iberia, LA
• Providers in New Iberia, LA by specialty
• General Acute Care Hospital in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.