Active NPI
LHCG XXV LLC
Doing business as Community Loving Care Hospice
- Community Based Hospice Care Agency
- Wentzville, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- LHCG XXV LLC
- Doing business as
- Community Loving Care Hospice
- Practice address
- 9 Tiffany Lynn CT
Wentzville, MO 63385-3257 - Phone
- (636) 639-6280
- Fax
- (636) 639-6317
- NPI assigned
- Jan 20, 2011
- Last updated
- Aug 9, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donald D. Stelly II
- Title
- President
- Phone
- (337) 233-1307
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
9 Tiffany Lynn CT
Wentzville, MO 63385-3257
Mailing address
PO Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307
Other names 1
- Community Loving Care Hospice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110407000882 | MO | Part A Provider - Hospice | 0345424891 | Practice locations: Bowling Green, MO; Wentzville, MO |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1417252529. Details of each certification follow.
Hospice certification: CCN 261594
- Legal name
- LHCG XXV LLC
- Doing business as
- COMMUNITY LOVING CARE HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Sep 4, 2003
- Last certification
- Oct 29, 2021
- Ownership / control type
- Other
- Organization structure
- LLC
- Incorporated
- Dec 7, 2010 in MO
- Enrollment address
- 9 Tiffany Lynn CT
Wentzville, MO 63385-3257
Care Compare: Hospice
Medicare Care Compare- Listed as
- Community Loving Care Hospice
- Ownership
- For-Profit
- Certified
- Sep 4, 2003
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2022137 | LHCG XXV, LLC D/B/a Community Loving Care Hospice | Certificate of waiver | Mar 27, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Community Loving Care Hospice
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Wentzville, MO
- NPI 1245276781
Locations
1310 S Business Highway 61
Ste B
Bowling Green, MO 63334
Phone (573) 324-9828
9 Tiffany Lynn Ct
Wentzville, MO 63385
Phone (636) 639-6280
Ownership & related parties
All disclosed owners & managing parties 11
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Unitedhealth Group Incorporated | 5% Or Greater Indirect Ownership Interest | Feb 22, 2023 | 100% |
| Marcus Donavon Macip | Corporate Officer | Feb 22, 2023 | |
| Kimberly Seymour | Corporate Officer | Feb 22, 2023 | |
| Missouri Health Care Group, LLC | 5% Or Greater Direct Ownership Interest | Apr 1, 2011 | 100% |
| Wendy S Daigle | Corporate Director | Oct 1, 2022 | |
| W-2 Managing Employee | Oct 1, 2022 | ||
| LHC Group Inc | 5% Or Greater Indirect Ownership Interest | Apr 1, 2011 | 100% |
| Operational/Managerial Control | Apr 1, 2011 | ||
| Matthew W Meier | Contracted Managing Employee | Mar 1, 2024 | |
| Kevin David Weikart | Contracted Managing Employee | Mar 1, 2024 | |
| Joshua Lee Proffitt | Corporate Officer | Aug 1, 2012 | |
| Jacquelyn Miller | W-2 Managing Employee | May 19, 2025 | |
| Amy Cormier | Corporate Director | 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.
-
- Internal Medicine Physician
- O'Fallon, MO
- NPI 1902864986
Contracted Managing Employee
Facilities with the same owner 5
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Access Hospice Care
- Community Based Hospice Care Agency
- Springfield, MO
- NPI 1750619060
Missouri Health Care Group, LLC
-
dba Central Missouri Home Health
- Home Health Agency
- Jefferson City, MO
- NPI 1881257145
Missouri Health Care Group, LLC
-
dba Central Missouri Hospice
- Community Based Hospice Care Agency
- Jefferson City, MO
- NPI 1558924829
Missouri Health Care Group, LLC
-
dba Capital Region Home Health
- Home Health Agency
- Jefferson City, MO
- NPI 1619468527
Missouri Health Care Group, LLC
-
dba Elite Hospice
- Community Based Hospice Care Agency
- Sikeston, MO
- NPI 1750753943
Missouri Health Care Group, LLC
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Hospice Registered Nurse
- Wentzville, MO
- NPI 1023645116
Affiliated clinicians 22
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": "1295481600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1565308800000",
"number": "1417252529",
"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": "9 TIFFANY LYNN CT",
"city": "WENTZVILLE",
"state": "MO",
"postal_code": "633853257",
"telephone_number": "636-639-6280",
"fax_number": "636-639-6317"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LHCG XXV LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-20",
"last_updated": "2019-08-09",
"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",
"authorized_official_name_suffix": "II"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Community Loving Care Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Wentzville, MO
- Rebecca Lynn Leigh
- Kristin Nicole Lemaitre, D.D.S.
- Emma Leonard, LPC
- Cristiana Danielle Lewis, LP. PSYD
- Coralia Ilinca Leyderman, PA-C
- Jay Joyce Lien, DMD
- Lifetime Dental Care of Missouri, Richard Straus, D.M.D., P.C. (Premier Dental Partners Wentzville)
- Betsy Lippincott
- Carolyn M.B. Livergood, P.T.
- Laurie Lofton
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.