NPIMap

Organization Active NPI

LHCG XII, LLC

Doing business as Louisiana Extended Care Hospital of Lafayette

  • Long Term Care Hospital
  • Lafayette, LA
National Provider Identifier
1548360696
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
Legal business name
LHCG XII, LLC
Doing business as
Louisiana Extended Care Hospital of Lafayette
Practice address
2810 Ambassador Caffery Pkwy FL 6
Lafayette, LA 70506-5906
Phone
(337) 289-8180
NPI assigned
Sep 25, 2006
Last updated
Feb 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X NU Primary

Addresses

Primary practice location

2810 Ambassador Caffery Pkwy FL 6
Lafayette, LA 70506-5906

Mailing address

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

Other practice location 1

1214 Coolidge Blvd
9th Floor
Lafayette, LA 70503-2621
Phone (337) 289-8180

Other identifiers 2

IdentifierTypeStateIssuer
190061430ZOtherLABLUE CROSS BLUE SHIELD OF
1700665MedicaidLA

Other names 1

  • Louisiana Extended Care Hospital of Lafayette Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061006000169 LA Part A Provider - Hospital 8729084272 2 other NPIs on this enrollment
Practice locations: Crowley, LA; Lafayette, LA
O20141017001615 LA Part B Supplier - Clinic/Group Practice 8729084272 Receives reassigned benefits from 1 practitioner
Practice locations: Lafayette, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1548360696. Details of each certification follow.

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 with the same Medicare PAC ID 1

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

  • LHCG XII, LLC

    dba Louisiana Extended Care Hospital of Lafayette

    • Skilled Nursing Facility
    • Lafayette, LA
    • NPI 1225534662

    8729084272

    Same PAC ID

Other NPIs on the same Medicare enrollment 2

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

Care Compare: Long-term care hospital

Medicare Care Compare
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

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.

  • LHCG XII, LLC

    dba Louisiana Extended Care Hospital of Lafayette

    • Hospitalist Physician
    • Lafayette, LA
    • NPI 1205207370
    NPD tax ID
  • LHCG XII, LLC

    dba Louisiana Extended Care Hospital of Lafayette

    • Skilled Nursing Facility
    • Lafayette, LA
    • NPI 1225534662
    NPD tax ID
  • LHCG-XII, LLC

    dba Eunice Extended Care Hospital

    • General Acute Care Hospital
    • Eunice, LA
    • NPI 1255540662
    NPD tax ID

Member of 1

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

Locations

1305 Crowley Rayne Hwy
Fl 2
Crowley, LA 70526
Phone (337) 546-0024

Ownership & related parties

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.

NameRoleSinceShare
Meagan Falgout Individual W-2 Managing EmployeeAdministrator Apr 11, 2022
Robert Christopher Fox Individual 5% Or Greater Indirect Ownership Interest Nov 18, 2024 33.33%
Corporate Director Nov 18, 2024
KLW Assets LLC Organization, Pineville, LA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 18, 2024 33.33%
Suzanne Gras Individual Corporate OfficerBilling Officer Manager Nov 18, 2024
Lauren B Wright Individual 5% Or Greater Indirect Ownership Interest Nov 18, 2024 16.67%
Christopher Wright Individual 5% Or Greater Indirect Ownership Interest Nov 18, 2024 16.67%
Corporate Director Nov 18, 2024
Rice Business Enterprises LLC Organization, Ruston, LA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 18, 2024 10%
Luke a. Moody Individual W-2 Managing EmployeeDirector of Nursing Jun 30, 2022
Priority Hospital Group LLC Organization, Bossier City, LA LLC, Chain home office Operational/Managerial Control Nov 18, 2024
Alexander a Rice Individual 5% Or Greater Indirect Ownership Interest Nov 18, 2024 10.5%
Rice Equity Group LLC Organization, Ruston, LA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 18, 2024 23.33%
Christopher K Rice Individual 5% Or Greater Indirect Ownership Interest Nov 18, 2024 10.5%
Julie B Pittman Individual 5% Or Greater 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%
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%
Mark J. Rice Individual 5% Or Greater Indirect Ownership Interest Nov 18, 2024 7.33%
Corporate Director Nov 18, 2024

Facilities with the same owner 7

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

  • LHCG XII, LLC

    dba Louisiana Extended Care Hospital of Lafayette

    • Skilled Nursing Facility
    • Lafayette, LA
    • NPI 1225534662

    B & C Fox Enterprises LLC, KLW Assets LLC, PHG - Lafayette LLC, Priority Hospital Group LLC, Rice Business Enterprises LLC

    CMS ownership
  • Specialty Extended Care Hospital of Monroe, LLC

    dba Specialty Hospital

    • Long Term Care Hospital
    • Monroe, LA
    • NPI 1528385382

    B & C Fox Enterprises LLC, KLW Assets LLC, Priority Hospital Group LLC, Rice Business Enterprises LLC, Rice Equity Group LLC

    CMS ownership
  • LHCG Cxix, LLC

    dba Arkansas Extended Care Hospital - Hot Springs

    • Long Term Care Hospital
    • Hot Springs, AR
    • NPI 1851812176

    B & C Fox Enterprises LLC, KLW Assets LLC, Priority Hospital Group LLC, Rice Business Enterprises LLC, Rice Equity Group LLC

    CMS ownership
  • LHCG Cxviii, LLC

    dba Arkansas Extended Care Hospital - Fort Smith

    • Long Term Care Hospital
    • Fort Smith, AR
    • NPI 1790206910

    B & C Fox Enterprises LLC, KLW Assets LLC, Priority Hospital Group LLC, Rice Business Enterprises LLC, Rice Equity Group LLC

    CMS ownership
  • North Alabama Specialty Hospital
    • Long Term Care Hospital
    • Huntsville, AL
    • NPI 1831634989

    Priority Hospital Group LLC, Rice Business Enterprises LLC, Rice Equity Group LLC

    CMS ownership
  • Post Acute Enterprises, L.L.C.
    • Long Term Care Hospital
    • Beaumont, TX
    • NPI 1346630316

    Priority Hospital Group LLC

    CMS ownership
  • Post Acute Enterprises, L.L.C.

    dba Mid Jefferson Extended Care Hospital

    • Rehabilitation Hospital Unit
    • Beaumont, TX
    • NPI 1447998596

    Priority Hospital Group LLC

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 5

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 8

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": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1548360696",
    "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 6",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705065906",
            "telephone_number": "337-289-8180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1214 Coolidge Blvd",
            "address_2": "9th Floor",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705032621",
            "country_code": "US",
            "telephone_number": "337-289-8180",
            "fax_number": "337-289-8181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LHCG XII, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "190061430Z",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700665",
            "state": "LA"
        }
    ],
    "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.