Active NPI
LHCG Ccxxiv, LLC
- Home Health Agency
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- LHCG CCXXIV, LLC
- Practice address
- 4701 Mount Hope Dr Ste a
Baltimore, MD 21215-3246 - Phone
- (410) 644-0105
- Fax
- (410) 368-3681
- NPI assigned
- Aug 16, 2022
- Last updated
- Aug 16, 2022
- 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
- Nicholas Gachassin III
- Title
- Executive Vice President
- Phone
- (337) 233-1307
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
4701 Mount Hope Dr Ste a
Baltimore, MD 21215-3246
Mailing address
PO Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221115002035 | MD | Part A Provider - Home Health Agency | 7416325980 | Practice locations: Baltimore, MD |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1508584533. Details of each certification follow.
Home health agency certification: CCN 217123A
- Legal name
- LHCG CCXXIV LLC
- Doing business as
- HOMECALL OF BALTIMORE
- Organization structure
- LLC
- Incorporated
- Jul 7, 2022 in MD
- Enrollment address
- 4701 Mount Hope Dr
Ste a
Baltimore, MD 21215-3246
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 |
|---|---|---|---|
| 21D1065976 | LHCG Ccxxiv, LLC Dba Homecall of Baltimore | Certificate of waiver | Mar 12, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Unitedhealth Group Incorporated | 5% Or Greater Indirect Ownership Interest | Feb 22, 2023 | 90% |
| Chaya Eidensohn | W-2 Managing Employee | May 20, 2024 | |
| Maryland Health Care Group, LLC | 5% Or Greater Indirect Ownership Interest | Nov 1, 2022 | 90% |
| Maryland Intermediary-I LLC | 5% Or Greater Direct Ownership Interest | Nov 1, 2022 | 100% |
| Maryland Healthcare Partnership LLC | 5% Or Greater Indirect Ownership Interest | Nov 1, 2022 | 100% |
| Wendy S Daigle | Corporate Director | Oct 1, 2022 | |
| LHC Group Inc | 5% Or Greater Indirect Ownership Interest | Nov 1, 2022 | 90% |
| Joshua Lee Proffitt | Corporate Officer | Nov 1, 2022 | |
| Amy Cormier | Corporate Director | May 1, 2025 | |
| Um Post Acute Care LLC | 5% Or Greater Indirect Ownership Interest | Nov 1, 2022 | 10% |
Facilities with the same owner 6
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba VNA of Maryland - Chestertown
- Home Health Agency
- Chestertown, MD
- NPI 1710925375
Maryland Health Care Group, LLC, Maryland Healthcare Partnership LLC, Um Post Acute Care LLC
-
dba HomeCall
- Home Health Agency
- Westminster, MD
- NPI 1053406181
Maryland Health Care Group, LLC
-
dba HomeCall
- Home Health Agency
- Easton, MD
- NPI 1700971843
Maryland Health Care Group, LLC
-
dba HomeCall
- Home Health Agency
- Frederick, MD
- NPI 1790870350
Maryland Health Care Group, LLC
-
dba VNA of Maryland- Easton
- Home Health Agency
- Easton, MD
- NPI 1912625989
Maryland Health Care Group, LLC, Maryland Healthcare Partnership LLC, Um Post Acute Care LLC
-
dba VNA of Maryland
- Home Health Agency
- Owings Mills, MD
- NPI 1215597877
Maryland Health Care Group, LLC, Maryland Healthcare Partnership LLC, Um Post Acute Care LLC
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Nov 1, 2022 | Change of Ownership | Homecall |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba HomeCall
- Home Health Agency
- Baltimore, MD
- NPI 1295820439
Acquired from, 2022-11-01
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660608000000",
"number": "1508584533",
"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": "337-443-4154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 MOUNT HOPE DR STE A",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212153246",
"telephone_number": "410-644-0105",
"fax_number": "410-368-3681"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LHCG CCXXIV, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-16",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"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_suffix": "III"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.