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Contact Information

LHCG LXXXV, LLC
3024 RED WOLF BLVD
JONESBORO, AR72401-7415
 Phone: 870-333-5355
 Fax: 870-333-5369
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Hospice Care, Community Based

251G00000X B4[14] Hospice
Indicates primary specialty

NPI Profile & details for LHCG LXXXV, LLC

NPI # 1700335031
LBN Legal business name LHCG LXXXV, LLC
Authorized official JOSHUA PROFFITT - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/28/2016
Last updated 07/03/2024 - More than a year ago
Identifiers
AR Medicaid 233530762
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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