NPIMap

Organization Active NPI

LHCG Lii, LLC

Doing business as West Virginia Home Health

  • Home Health Agency
  • Buckhannon, WV
National Provider Identifier
1184048241
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LHCG LII, LLC
Doing business as
West Virginia Home Health
Practice address
21 E Main St Ste 302
Buckhannon, WV 26201-2910
Phone
(304) 473-6802
Fax
(304) 460-0708
NPI assigned
Feb 10, 2014
Last updated
Aug 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Authorized official

Name
Mr. 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

21 E Main St Ste 302
Buckhannon, WV 26201-2910

Mailing address

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

Other names 1

  • West Virginia Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140508000655 WV Part A Provider - Home Health Agency 1456584952 Practice locations: Buckhannon, WV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184048241. Details of each certification follow.

Home health agency certification: CCN 517031

Legal name
LHCG LII, LLC
Doing business as
WEST VIRGINIA HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 27, 1971
Last certification
Jul 15, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jan 31, 2014 in WV
Enrollment address
21 East Main Street
Suite 302
Buckhannon, WV 26201-2910

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

  • LHCG Lii, LLC

    dba West Virginia Hospice

    • Community Based Hospice Care Agency
    • Buckhannon, WV
    • NPI 1205250032

    1456584952

    Same PAC ID

Care Compare: Home health agency

Medicare Care Compare
Listed as
West Virginia Home HealthCCN 517031 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jul 27, 1971
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical therapy

National Provider Directory

National Provider Directory
Tax ID family
Adoration Hospice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

  • LHCG Lii, LLC

    dba West Virginia Hospice

    • Community Based Hospice Care Agency
    • Buckhannon, WV
    • NPI 1205250032
    NPD tax ID

Locations

21 E Main St
Ste 302
Buckhannon, WV 26201
Phone (304) 472-6802

Ownership & related parties

All disclosed owners & managing parties 5

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%
West Virginia Health Care Group, LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Apr 1, 2014 100%
Tesa N. Grey Individual W-2 Managing EmployeeAdministrator / Director of Nursing Sep 26, 2020
Operational/Managerial ControlAdministrator / Director of Nursing Sep 26, 2020
LHC Group Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Apr 1, 2014 100%
Operational/Managerial Control Apr 1, 2014
Joshua Lee Proffitt Individual Corporate OfficerPresident Apr 1, 2014

Facilities with the same owner 13

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

View all 13

Practitioners & affiliated clinicians

Affiliated clinicians 8

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

NPI Registry JSON

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1184048241",
    "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": "337-443-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 E MAIN ST STE 302",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012910",
            "telephone_number": "304-473-6802",
            "fax_number": "304-460-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LHCG LII, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-10",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Virginia Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Virginia Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buckhannon, WV

Sources for this page

Verify at the official NPI Registry.