NPIMap

Organization Active NPI

LHCG Xci, LLC

Doing business as Pleasant Valley Home Health

  • Home Health Agency
  • Gallipolis, OH
National Provider Identifier
1689113300
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LHCG XCI, LLC
Doing business as
Pleasant Valley Home Health
Practice address
300 Lodi LN
Gallipolis, OH 45631-1784
Phone
(740) 208-5599
Fax
(740) 957-9293
NPI assigned
Feb 14, 2017
Last updated
Mar 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

300 Lodi LN
Gallipolis, OH 45631-1784

Mailing address

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

Other names 1

  • Pleasant Valley Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170601001142 OH Part A Provider - Home Health Agency 9830466457 Practice locations: Gallipolis, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689113300. Details of each certification follow.

Home health agency certification: CCN 368353

Legal name
LHCG XCI, LLC
Doing business as
PLEASANT VALLEY HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 8, 2011
Last certification
Mar 6, 2014
Ownership / control type
Non-Profit
Organization structure
LLCProprietary
Incorporated
Jan 17, 2017 in OH
Enrollment address
300 Lodi LN
Gallipolis, OH 45631-1784

Care Compare: Home health agency

Medicare Care Compare
Listed as
Pleasant Valley Home HealthCCN 368353 · All quality measures
Overall star rating
4 of 5
Ownership
Non-Profit
Certified
Mar 8, 2011
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
36D2073289LHCG Xci, LLC Dba Pleasant Valley300 Lodi Lane, Gallipolis, OH 45631Certificate of waiverFeb 13, 2028

National Provider Directory

National Provider Directory

Member of 1

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

Locations

300 Lodi Ln
Gallipolis, OH 45631
Phone (740) 208-5599

Ownership & related parties

All disclosed owners & managing parties 9

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 90%
Marcus Donavon Macip Individual Corporate OfficerSecretary Feb 22, 2023
Kimberly Seymour Individual Corporate OfficerTreasurer Feb 22, 2023
Pleasant Valley Hospital, Inc. Organization, Point Pleasant, WV Corporation 5% Or Greater Indirect Ownership Interest Apr 1, 2017 10%
West Virginia Health Care Group, LLC Organization, Lafayette, LA LLC 5% Or Greater Indirect Ownership Interest Apr 1, 2017 90%
Angela K Rose Individual W-2 Managing EmployeeDirector of Nursing/Admin Apr 26, 2021
Operational/Managerial ControlDirector of Nursing Apr 26, 2021
LHC Group Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Apr 1, 2017 90%
Operational/Managerial Control Jan 1, 2017
LHCG Lxxxvii LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Apr 1, 2017 100%
Joshua Lee Proffitt Individual Corporate OfficerPresident Apr 1, 2017

Owners & managing parties with NPI records 3

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

Facilities with the same owner 14

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

View all 14

Change-of-ownership history 1

DateEventCounterparty
Apr 1, 2017 Change of OwnershipThis provider was the buyer Pleasant Valley Home Care ServicesCCN 368353, OH, NPI 1528061645

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1689113300",
    "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": "300 LODI LN",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456311784",
            "telephone_number": "740-208-5599",
            "fax_number": "740-957-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LHCG XCI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "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": "Pleasant Valley Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gallipolis, OH

Sources for this page

Verify at the official NPI Registry.