LHCG Clxvii, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

LHCG CLXVII, LLC

Doing business as

Elite Community-Based Services

Practice address

1225 Breckenridge Dr Ste 102
Little Rock, AR 72205-1565

Phone

(501) 588-7017

Fax

(501) 588-3806

NPI assigned

Dec 11, 2020

Organization subpart

No

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

Authorized official

Name

Nicholas Gachassin III

Title

Executive Vice President

Phone

(337) 233-1307

Specialties & licenses 1

Addresses

Other names 1

• Elite Community-Based Services Doing business as

Locations

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608681600000",
    "number": "1992391122",
    "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": "1225 BRECKENRIDGE DR STE 102",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722051565",
            "telephone_number": "501-588-7017",
            "fax_number": "501-588-3806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LHCG CLXVII, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A",
        "authorized_official_last_name": "GACHASSIN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Community-Based Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elite Community-Based Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tanekia Lewis
• Tyneisha Tierra Lewis
• Whitnee Lewis
• Zachary B Lewis, M.D.
• Amy Susan Tamer Leyba, NP-C
• LHCG Xlii, LLC (Elite Home Health)
• Gary Li
• Ruizong Li, MD
• Helen T Liapis, MD
• Libcare of Ar

• Nursing Care Agency in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Nursing Care Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.