# LHCG XII, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Louisiana Extended Care Hospital of Lafayette
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225534662
- **Authorized official:** CHRIS FOX (GROUP PRESIDENT)
- **Authorized official phone:** (337) 247-1801

## Contact information

- **Practice address:** 2810 AMBASSADOR CAFFERY PKWY FL 5, LAFAYETTE, LA 70506-5906
- **Practice address phone:** (337) 289-8180
- **Practice address fax:** (337) 233-5764
- **Mailing address:** 1000 CHINABERRY DR STE 200, BOSSIER CITY, LA 71111-2443
- **Mailing address phone:** (318) 684-6050
- **Mailing address fax:** (318) 684-6051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 04/04/2018
- **Last updated:** 01/27/2025