NPIMap

Organization Active NPI

LHCG Xxii, LLC

  • Community Based Hospice Care Agency
  • Anniston, AL
National Provider Identifier
1497057756
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
LHCG XXII, LLC
Practice address
801 Noble St Ste 700
Anniston, AL 36201-5698
Phone
(256) 831-2031
Fax
(256) 831-6500
NPI assigned
Nov 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Authorized official

Name
Mr. Nicholas Gachassin III
Title
Executive Vice President
Phone
(337) 233-1307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

801 Noble St Ste 700
Anniston, AL 36201-5698

Mailing address

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

Other practice location 1

1631 Hamric Dr E
Oxford, AL 36203-2035
Phone (256) 831-2031

Other identifiers 1

IdentifierTypeStateIssuer
132683MedicaidAL

Other names 1

  • Alabama Hospice Care of East Alabama Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110218000684 AL Part A Provider - Hospice 0547441826 Practice locations: Anniston, AL

Hospice certification: CCN 011671

Legal name
LHCG XXII, LLC
Doing business as
ALABAMA HOSPICE CARE OF EAST ALABAMA
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 12, 2008
Last certification
Aug 29, 2019
Ownership / control type
Proprietary - Other
Organization structure
LLCProprietary
Incorporated
Oct 18, 2010 in AL
Enrollment address
801 Noble St
Ste 700
Anniston, AL 36201-5698

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Alabama Hospice Care of East AlabamaCCN 011671
Ownership
For-Profit
Certified
Jun 12, 2008
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Access Hospice5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 7

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 OfficerSecretary Feb 22, 2023
Kimberly Seymour Individual Corporate OfficerCfo/Treasurer Feb 22, 2023
Danielle Almaroad Individual W-2 Managing EmployeeAd;Director of Nursing Dec 7, 2022
LHC Group Inc Organization, Lafayette, LA Corporation, Chain home office 5% Or Greater Indirect Ownership Interest Jan 1, 2011 100%
Joshua Lee Proffitt Individual Corporate OfficerPresident Jan 1, 2011
Alabama Health Care Group, LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Jan 1, 2011 100%

Owners & managing parties with NPI records 1

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.

View all 18

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1290038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1497057756",
    "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": "801 NOBLE ST STE 700",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362015698",
            "telephone_number": "256-831-2031",
            "fax_number": "256-831-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1631 Hamric Dr E",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "AL",
            "postal_code": "362032035",
            "country_code": "US",
            "telephone_number": "256-831-2031",
            "fax_number": "256-831-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LHCG XXII, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-18",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "GACHASSIN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132683",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alabama Hospice Care of East Alabama",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anniston, AL

Sources for this page

Verify at the official NPI Registry.