Organization
LHCG CCIV, LLC
Active
Other names
Freda H. Gordon Palliative Care
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA L PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
6477 COLLEGE PARK SQ STE 316, VIRGINIA BEACH, VA 23464-3611
(757) 452-6932
(757) 905-4316
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 443-4154
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/20/2021
Last updated
07/03/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us