NPIMap

Organization Active NPI

LHCG-VIII, LLC

Doing business as Bunkie HomeCare

  • Home Health Agency
  • Bunkie, LA
National Provider Identifier
1306884606
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1025 Issued in LA
Legal business name
LHCG-VIII, LLC
Doing business as
Bunkie HomeCare
Practice address
1123 Shirley Rd
Bunkie, LA 71322-1553
Phone
(318) 346-3312
Fax
(318) 346-3318
NPI assigned
Jun 2, 2006
Last updated
Oct 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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 1025 LA Primary

Addresses

Primary practice location

1123 Shirley Rd
Bunkie, LA 71322-1553

Mailing address

P.O. Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307

Other identifiers 2

IdentifierTypeStateIssuer
190030894ZOtherLABLUE CROSS BLUE SHIELD OF
1401145MedicaidLA

Other names 1

  • Bunkie HomeCare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040617000156 LA Part A Provider - Home Health Agency 9638153588 Practice locations: Bunkie, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306884606. Details of each certification follow.

Home health agency certification: CCN 197114

Legal name
LHCG-VIII, LLC
Doing business as
BUNKIE HOMECARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 20, 1984
Last certification
Jul 7, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Nov 7, 2003 in LA
Enrollment address
1123 Shirley Rd
Bunkie, LA 71322-1553

Care Compare: Home health agency

Medicare Care Compare
Listed as
Bunkie HomecareCCN 197114 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Feb 20, 1984
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
19D0922366Bunkie Homecare1123 Shirley Road, Bunkie, LA 71322Certificate of waiverNov 20, 2026

National Provider Directory

National Provider Directory

Member of 1

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

Locations

1123 Shirley Rd
Bunkie, LA 71322
Phone (318) 346-3312

353 Moreau St
Marksville, LA 71351
Phone (314) 825-3799

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 67%
Marcus Donavon Macip Individual Corporate OfficerSecretary Feb 22, 2023
Kimberly Seymour Individual Corporate Officer Feb 22, 2023
Hospital Service District No 1 Parish of Avoyelles State of la Organization, Bunkie, LA Corporation 5% Or Greater Direct Ownership Interest Mar 1, 2004 33%
Wendy S Daigle Individual Corporate DirectorDirector, Licensure & Regulatory Oct 1, 2022
LHC Group Inc Organization, Lafayette, LA Corporation 5% Or Greater Direct Ownership Interest Mar 1, 2004 67%
5% Or Greater Indirect Ownership Interest Mar 1, 2004 67%
Operational/Managerial Control Mar 1, 2004
Joshua Lee Proffitt Individual Corporate OfficerPresident Dec 31, 2019
Tammy L Bordelon Individual W-2 Managing EmployeeAdministrator/Director of Nursin Feb 28, 2013
Operational/Managerial ControlAdministrator/Director of Nursin Feb 28, 2013
Louisiana Health Care Group LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Mar 1, 2004 67%

Owners & managing parties with NPI records 5

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

Facilities with the same owner 45

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

View all 45

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 11

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": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1306884606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. 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": "1123 SHIRLEY RD",
            "city": "BUNKIE",
            "state": "LA",
            "postal_code": "713221553",
            "telephone_number": "318-346-3312",
            "fax_number": "318-346-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LHCG-VIII, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2016-10-17",
        "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": "LA",
            "license": "1025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "190030894Z",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1401145",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bunkie HomeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bunkie, LA

Sources for this page

Verify at the official NPI Registry.