NPIMap

Organization Active NPI

LHCG Lvii, LLC

  • Home Health Agency
  • Alamosa, CO
National Provider Identifier
1235545997
Registry record updated Jul 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LHCG LVII, LLC
Practice address
177 Craft Dr
Ste 100
Alamosa, CO 81101-2248
Phone
(719) 589-6425
Fax
(719) 589-1021
NPI assigned
Jul 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2014

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

Authorized official

Name
Donald D Stelly
Title
President, LHC Group, Inc.
Phone
(337) 233-1307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

177 Craft Dr
Ste 100
Alamosa, CO 81101-2248

Mailing address

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

Other names 1

  • At Home Healthcare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141002000524 CO Part A Provider - Home Health Agency 4183844731 Practice locations: Alamosa, CO

Home health agency certification: CCN 067248

Legal name
LHCG LVII, LLC
Doing business as
AT HOME HEALTHCARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 1, 1995
Last certification
Jan 24, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
177 Craft Drive
Suite 100
Alamosa, CO 81101-2261

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
At Home HealthcareCCN 067248
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Mar 1, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical 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
06D0897168LHCG Lvii, LLC177 Craft Dr, Suite 100, Alamosa, CO 81101Certificate of waiverJan 29, 2027

National Provider Directory

National Provider Directory
Tax ID family
At Home Healthcare2 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.

Locations

2121 S Blackhawk St
Ste 100
Aurora, CO 80014
Phone (720) 545-0768

1275 Lake Plaza Dr
Ste 100
Colorado Springs, CO 80906
Phone (719) 227-8624

1365 Forest Park Cir
Ste 203
Lafayette, CO 80026
Phone (303) 666-7712

1375 Ken Pratt Blvd
Ste 400
Longmont, CO 80501
Phone (303) 666-7712

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
Nichole Hunter Individual W-2 Managing EmployeeAdministrator / Director of Nursing May 3, 2022
Colorado Health Care Group LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Sep 1, 2014 100%
Kimberly Seymour Individual Corporate OfficerCfo/ Treasurer Feb 22, 2023
Wendy S Daigle Individual Corporate DirectorDirector, Licensure & Regulatory Oct 1, 2022
LHC Group Inc Organization, Lafayette, LA Corporation, Chain home office 5% Or Greater Indirect Ownership Interest Sep 1, 2014 100%
Joshua Lee Proffitt Individual Corporate OfficerPresident Dec 31, 2019
Amy Cormier Individual Corporate DirectorDirector, Managed Care Network May 1, 2025

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Affiliated clinicians 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406678400000",
    "number": "1235545997",
    "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": "177 CRAFT DR",
            "address_2": "STE 100",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811012248",
            "telephone_number": "719-589-6425",
            "fax_number": "719-589-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LHCG LVII, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-30",
        "status": "A",
        "authorized_official_last_name": "STELLY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT, LHC GROUP, INC.",
        "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": [
        {
            "organization_name": "At Home Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alamosa, CO

Sources for this page

Verify at the official NPI Registry.