Provider Demographics
NPI:1922177120
Name:LHC, INC.
Entity Type:Organization
Organization Name:LHC, INC.
Other - Org Name:LAURELWOOD HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:731-422-5641
Mailing Address - Street 1:200 BIRCH ST
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38301-6684
Mailing Address - Country:US
Mailing Address - Phone:731-422-5641
Mailing Address - Fax:731-422-9909
Practice Address - Street 1:200 BIRCH ST
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38301-6684
Practice Address - Country:US
Practice Address - Phone:731-422-5641
Practice Address - Fax:731-422-9909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN173314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN7440398Medicaid
TN0445413Medicaid
TN0445413Medicaid