NPIMap

Organization Active NPI

LHCG Xvi, LLC

Doing business as Feliciana Home Health

  • Home Health Agency
  • Zachary, LA
National Provider Identifier
1053645598
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LHCG XVI, LLC
Doing business as
Feliciana Home Health
Practice address
1215 Independence Blvd, BLDG 3,
Suite B
Zachary, LA 70791-7390
Phone
(225) 683-3347
Fax
(225) 683-1278
NPI assigned
Oct 1, 2009
Last updated
Sep 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joshua L. Proffitt
Title
President
Phone
(337) 233-1307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

1215 Independence Blvd, BLDG 3,
Suite B
Zachary, LA 70791-7390

Mailing address

PO Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307

Other practice location 1

9735 Grace Ln
Clinton, LA 70722-4925
Phone (225) 683-3347

Other identifiers 1

IdentifierTypeStateIssuer
1400963MedicaidLA

Other names 1

  • Feliciana Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100106000102 LA Part A Provider - Home Health Agency 6800937384 Practice locations: Zachary, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053645598. Details of each certification follow.

Home health agency certification: CCN 197099

Legal name
LHCG XVI, LLC
Doing business as
FELICIANA HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 11, 1983
Last certification
Oct 25, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Sep 30, 2009 in LA
Enrollment address
1215 Independence Blvd, Building 3
Suite B
Zachary, LA 70791-7390

Care Compare: Home health agency

Medicare Care Compare
Listed as
Feliciana Home HealthCCN 197099 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Aug 11, 1983
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D0649120Feliciana Home Health1215 Independence Blvd, Building 3, Suite B, Zachary, LA 70791Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

9735 Grace Ln
Clinton, LA 70722
Phone (225) 683-3060

1215 Independence Blvd
Ste 3B
Zachary, LA 70791
Phone (225) 683-3347

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Unitedhealth Group Incorporated Organization, Minnetonka, MN Corporation 5% Or Greater Indirect Ownership Interest Feb 22, 2023 100%
Marcus Donavon Macip Individual Corporate OfficerCorporate Secretary Feb 22, 2023
Kimberly Seymour Individual Corporate OfficerCfo/Treasurer Feb 22, 2023
Dana Hutchinson Individual W-2 Managing EmployeeAd;Director of Nursing Oct 9, 2024
Wendy S Daigle Individual Corporate DirectorDirector, Licensure & Regulatory Oct 1, 2022
LHC Group Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Nov 1, 2009 100%
Operational/Managerial Control Nov 1, 2009
Joshua Lee Proffitt Individual Corporate OfficerExe VP , Cfo , LHC Group Inc Aug 1, 2012
Amy Cormier Individual Corporate DirectorDirector of Managed Care May 1, 2025
Louisiana Health Care Group LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Nov 1, 2009 100%

Facilities with the same owner 44

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 44

Practitioners & affiliated clinicians

Affiliated clinicians 13

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1053645598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307",
            "fax_number": "337-233-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 INDEPENDENCE BLVD, BLDG 3,",
            "address_2": "SUITE B",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707917390",
            "telephone_number": "225-683-3347",
            "fax_number": "225-683-1278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9735 Grace Ln",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "LA",
            "postal_code": "707224925",
            "country_code": "US",
            "telephone_number": "225-683-3347",
            "fax_number": "225-683-1278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LHCG XVI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-01",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1400963",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Feliciana Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Feliciana Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Zachary, LA

Sources for this page

Verify at the official NPI Registry.