NPIMap

Organization Active NPI

LHCG Xxix LLC

Doing business as Keller Home Care

  • Home Health Agency
  • Red Bay, AL
National Provider Identifier
1366740656
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LHCG XXIX LLC
Doing business as
Keller Home Care
Practice address
203 4TH Ave SW
Red Bay, AL 35582-4189
Phone
(256) 356-8160
Fax
(256) 356-6861
NPI assigned
Mar 10, 2011
Last updated
Dec 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

203 4TH Ave SW
Red Bay, AL 35582-4189

Mailing address

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

Other practice location 1

116 4th Ave SE
Red Bay, AL 35582-4191
Phone (256) 356-8160

Other names 1

  • Keller Home Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110411000122 AL Part A Provider - Home Health Agency 6002090438 Practice locations: Tuscumbia, AL; Red Bay, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366740656. Details of each certification follow.

Home health agency certification: CCN 017125

Legal name
LHCG XXIX, LLC
Doing business as
KELLER HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 20, 1994
Last certification
Jun 25, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Feb 17, 2011 in AL
Enrollment address
203 4TH Ave SW
Red Bay, AL 35582-4189

Other NPIs with the same Medicare PAC ID 1

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

  • LHCG Xxix LLC

    dba Alabama Hospice of the Shoals

    • Community Based Hospice Care Agency
    • Tuscumbia, AL
    • NPI 1629376918

    6002090438

    Same PAC ID

Care Compare: Home health agency

Medicare Care Compare
Listed as
Keller Home CareCCN 017125 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jan 20, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, 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
01D1002494LHCG Xxix, LLC203 4TH Avenue SW, Red Bay, AL 35582Certificate of waiverAug 6, 2026

National Provider Directory

National Provider Directory
Tax ID family
Alabama Hospice of the Shoals2 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 Xxix LLC

    dba Alabama Hospice of the Shoals

    • Community Based Hospice Care Agency
    • Tuscumbia, AL
    • NPI 1629376918
    NPD tax ID

Member of 1

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

Locations

404 Avalon Ave
Ste 101
Muscle Shoals, AL 35661
Phone (256) 314-1201

116 4th Ave SE
Red Bay, AL 35582
Phone (256) 356-8160

203 4th Ave SW
Red Bay, AL 35582
Phone (256) 356-8160

1404 E Avalon Ave
Ste D
Tuscumbia, AL 35674
Phone (256) 314-1201

Ownership & related parties

All disclosed owners & managing parties 10

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 OfficerCorporate Secretary Feb 22, 2023
Kimberly Seymour Individual Corporate OfficerCoo Apr 13, 2026
W-2 Managing EmployeeCoo Apr 13, 2026
Joni Babineaux Individual Corporate OfficerCfo Apr 13, 2026
Amy Johnson Individual W-2 Managing EmployeeAdministrator/Director of Nursing Jun 7, 2021
Operational/Managerial ControlAdministrator/Director of Nursing Jun 7, 2021
LHC Group Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Apr 5, 2011 67%
Joshua Lee Proffitt Individual Corporate OfficerPresident Aug 1, 2012
Colbert County NW Alabama Healthcare Authority Organization, Sheffield, AL Non-profit 5% Or Greater Direct Ownership Interest Mar 24, 2011 33%
Alabama Health Care Group, LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Mar 24, 2011 67%
Amy Cormier Individual Corporate DirectorDirector of Managed Care May 1, 2025

Owners & managing parties with NPI records 2

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

Facilities with the same owner 18

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

  • Athens-Limestone Homecare, LLC

    dba Athens-Limestone HomeCare

    • Home Health Agency
    • Athens, AL
    • NPI 1730136698

    Alabama Health Care Group, LLC

    CMS ownership
  • Hga Homecare, LLC

    dba Decatur Morgan HomeCare

    • Home Health Agency
    • Decatur, AL
    • NPI 1144409004

    Alabama Health Care Group, LLC

    CMS ownership
  • Hga Homecare, LLC

    dba Huntsville Hospital HomeCare

    • Home Health Agency
    • Huntsville, AL
    • NPI 1427237387

    Alabama Health Care Group, LLC

    CMS ownership
  • Infirmary Home Health Agency, Inc.

    dba Infirmary HomeCare

    • Home Health Agency
    • Mobile, AL
    • NPI 1710929294

    Alabama Health Care Group, LLC

    CMS ownership
  • LHCG Lxiv, LLC

    dba Troy Regional Medical Center Home Health

    • Home Health Agency
    • Troy, AL
    • NPI 1700287497

    Alabama Health Care Group, LLC

    CMS ownership
  • LHCG Lxxix, LLC

    dba Heartlite Hospice

    • Community Based Hospice Care Agency
    • Scottsboro, AL
    • NPI 1831556372

    Alabama Health Care Group, LLC

    CMS ownership
  • LHCG Lxxxiv, LLC

    dba D.W. McMillan Home Health

    • Home Health Agency
    • Brewton, AL
    • NPI 1083067904

    Alabama Health Care Group, LLC

    CMS ownership
  • LHCG Lxxxiv, LLC

    dba Atmore Community Home Care

    • Home Health Agency
    • Atmore, AL
    • NPI 1962069435

    Alabama Health Care Group, LLC

    CMS ownership
  • LHCG Xxii, LLC

    dba Alabama Hospice Care of East Alabama

    • Community Based Hospice Care Agency
    • Anniston, AL
    • NPI 1497057756

    Alabama Health Care Group, LLC

    CMS ownership
  • LHCG Xxii, LLC

    dba Alabama Hospice Care of Tuscaloosa

    • Community Based Hospice Care Agency
    • Northport, AL
    • NPI 1518269885

    Alabama Health Care Group, LLC

    CMS ownership
  • LHCG Xxii, LLC

    dba Alabama Hospice Care of Birmingham

    • Community Based Hospice Care Agency
    • Trussville, AL
    • NPI 1609178979

    Alabama Health Care Group, LLC

    CMS ownership
  • LHCG Xxix LLC

    dba Alabama Hospice of the Shoals

    • Community Based Hospice Care Agency
    • Tuscumbia, AL
    • NPI 1629376918

    Alabama Health Care Group, LLC, Colbert County NW Alabama Healthcare Authority

    CMS ownership
View all 18

Practitioners & affiliated clinicians

Affiliated clinicians 47

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

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1366740656",
    "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": "203 4TH AVE SW",
            "city": "RED BAY",
            "state": "AL",
            "postal_code": "355824189",
            "telephone_number": "256-356-8160",
            "fax_number": "256-356-6861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 4th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Red Bay",
            "state": "AL",
            "postal_code": "355824191",
            "country_code": "US",
            "telephone_number": "256-356-8160",
            "fax_number": "256-356-6861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LHCG XXIX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE VICE 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": [
        {
            "organization_name": "Keller Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Keller Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Red Bay, AL

Sources for this page

Verify at the official NPI Registry.