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Organization

LHCG CIV, LLC

Active
Other names
Elite Community-Based Services
Organization subpart
No

Provider details

NPI number
Authorized official
JOSHUA L PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization

Contact information

Practice address
2904 JENNY LIND RD STE B, FORT SMITH, AR 72901-6735
(479) 226-8503
(479) 452-2150
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 443-4154

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
253Z00000X
In Home Supportive Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
223863757
AR
05
223907765
AR
05
224057797
AR
05
224675732
AR
Enumeration date
12/08/2017
Last updated
05/04/2026
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