Organization
LHCG XLVI, LLC
Active
Other names
Lifeline Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS GACHASSIN III (EXECUTIVE VICE PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
710 N MAIN ST, TOMPKINSVILLE, KY 42167-1130
(270) 487-5905
(270) 487-6369
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QR1300X
Rural Health Clinic/Center
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
11/22/2013
Last updated
01/13/2022
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