NPIMap

Organization Active NPI

LHCG Xix, LLC

  • Home Health Agency
  • Pensacola, FL
National Provider Identifier
1124337894
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LHCG XIX, LLC
Practice address
2114 Airport Blvd Ste 1400
Pensacola, FL 32504-5910
Phone
(850) 476-0628
Fax
(850) 475-1313
NPI assigned
Sep 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Authorized official

Name
Donald D Stelly
Title
President
Phone
(337) 233-1307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2114 Airport Blvd Ste 1400
Pensacola, FL 32504-5910

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110428000483 FL Part A Provider - Home Health Agency 6002091485 Practice locations: Pensacola, FL

Home health agency certification: CCN 107006

Legal name
LHCG XIX, LLC
Doing business as
BAPTIST HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 1, 1966
Last certification
Mar 22, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jun 8, 2010 in FL
Enrollment address
2114 Airport Blvd
Ste 1400
Pensacola, FL 32504-5910

Care Compare: Home health agency

Medicare Care Compare
Listed as
Baptist Home Health CareCCN 107006
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jul 1, 1966
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
10D0929073LHCG Xix LLC2114 Airport Blvd Suite 1400, Pensacola, FL 32504Certificate of waiverJun 2, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1505 Merchants Way
Niceville, FL 32578
Phone (850) 200-0121

401 E Chase St
Ste 200
Pensacola, FL 32502
Phone (850) 208-8883

2114 Airport Blvd
Ste 1400
Pensacola, FL 32504
Phone (850) 476-0628

9215 N Davis Hwy
Pensacola, FL 32514
Phone (850) 437-8400

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Evelyn Lanier Individual W-2 Managing EmployeeDirector of Nursing/Alternate Admin Aug 13, 2023
Unitedhealth Group Incorporated Organization, Minnetonka, MN Corporation 5% Or Greater Indirect Ownership Interest Feb 22, 2023 75%
Marcus Donavon Macip Individual Corporate OfficerSecretary Feb 22, 2022
Kimberly Seymour Individual Corporate OfficerCoo Apr 13, 2026
W-2 Managing EmployeeCoo Apr 13, 2026
Baptist Health Ventures Inc Organization, Pensacola, FL Corporation 5% Or Greater Direct Ownership Interest Feb 1, 2011 25%
Joni Babineaux Individual Corporate OfficerCfo Apr 13, 2026
Wendy S Daigle Individual Corporate DirectorDirector, Licensure & Regulatory Oct 1, 2022
LHC Health Care Group of Florida, LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Feb 1, 2011 75%
LHC Group Inc Organization, Lafayette, LA Corporation, Chain home office 5% Or Greater Indirect Ownership Interest Feb 1, 2011 75%
Joshua Lee Proffitt Individual Corporate OfficerPresident Aug 1, 2012
Agnes Broussard Individual W-2 Managing EmployeeAd;Alternate Director of Nursing Dec 22, 2022
Amy Cormier Individual Corporate DirectorDirector of Managed Care May 1, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 8

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

Practitioners & affiliated clinicians

Affiliated clinicians 110

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

View all 110

NPI Registry JSON

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1124337894",
    "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": "2114 AIRPORT BLVD STE 1400",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325045910",
            "telephone_number": "850-476-0628",
            "fax_number": "850-475-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LHCG XIX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "STELLY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.