NPIMap

Organization Active NPI

Lifeline Home Health Care of Springfield, LLC

  • Home Health Agency
  • Springfield, TN
National Provider Identifier
1659596708
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0000000203 Issued in TN
Legal business name
LIFELINE HOME HEALTH CARE OF SPRINGFIELD, LLC
Practice address
2109 Park Plaza Dr Ste 200
Springfield, TN 37172-4073
Phone
(615) 384-4644
Fax
(615) 384-4799
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Authorized official

Name
Mr. Donald D. Stelly
Title
President
Phone
(337) 233-1307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0000000203 TN Primary

Addresses

Primary practice location

2109 Park Plaza Dr Ste 200
Springfield, TN 37172-4073

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
43072MedicaidTN

Other names 1

  • Lifeline Home Health Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071228000087 TN Part A Provider - Home Health Agency 2860572112 Practice locations: Springfield, TN

Home health agency certification: CCN 447466

Legal name
LIFELINE HOME HEALTH CARE OF SPRINGFIELD, LLC
Doing business as
LIFELINE HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 5, 1984
Last certification
Apr 10, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Mar 19, 2007 in TN
Enrollment address
2109 Park Plaza Drive
Suite 200
Springfield, TN 37172-4073

Care Compare: Home health agency

Medicare Care Compare
Listed as
Lifeline Home Health CareCCN 447466
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Sep 5, 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
44D0893897Lifeline Home Health Care Springfield LLC2109 Park Plaza, Suite 200, Springfield, TN 37172Certificate of waiverOct 31, 2026

National Provider Directory

National Provider Directory

Locations

2109 Park Plaza Dr
Ste 300
Springfield, TN 37172
Phone (615) 384-4644

2109 Park Plaza Dr
Ste 200
Springfield, TN 37172
Phone (615) 384-4644

Ownership & related parties

All disclosed owners & managing parties 8

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 OfficerTreasurer Feb 22, 2023
Tennessee Health Care Group LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Mar 19, 2007 100%
Wendy S Daigle Individual Corporate DirectorDirector of Licensure & Reg Affairs Oct 1, 2022
LHC Group Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest May 1, 2007 100%
Operational/Managerial Control May 1, 2007 100%
Katrinia Darnell Individual W-2 Managing EmployeeAdministrator/Director of Nursing Mar 28, 2021
Joshua Lee Proffitt Individual Corporate OfficerPresident Jul 13, 2020

Facilities with the same owner 46

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

View all 46

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1659596708",
    "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": "2109 PARK PLAZA DR STE 200",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371724073",
            "telephone_number": "615-384-4644",
            "fax_number": "615-384-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE HOME HEALTH CARE OF SPRINGFIELD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "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_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": "0000000203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43072",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifeline Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, TN

Sources for this page

Verify at the official NPI Registry.