NPIMap

Organization Active NPI

LHCG Xxxiv, LLC

Doing business as Alabama Hospice Care of Mobile

  • Community Based Hospice Care Agency
  • Mobile, AL
National Provider Identifier
1720335680
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
LHCG XXXIV, LLC
Doing business as
Alabama Hospice Care of Mobile
Practice address
851 E I65 Service Rd S Ste 1050
Mobile, AL 36606-3114
Phone
(251) 345-1023
Fax
(251) 345-1825
NPI assigned
Aug 10, 2012
Last updated
Oct 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

851 E I65 Service Rd S Ste 1050
Mobile, AL 36606-3114

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
149726MedicaidAL

Other names 1

  • Alabama Hospice Care of Mobile Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130521000542 AL Part A Provider - Hospice 4587802137 Practice locations: Mobile, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720335680. Details of each certification follow.

Hospice certification: CCN 011558

Legal name
LHCG XXXIV LLC
Doing business as
ALABAMA HOSPICE CARE OF MOBILE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 3, 1997
Last certification
Jul 29, 2021
Ownership / control type
Other
Organization structure
LLCProprietary
Incorporated
Jul 30, 2012 in AL
Enrollment address
851 E I65 Service Rd S
Ste 1050
Mobile, AL 36606-3114

Care Compare: Hospice

Medicare Care Compare
Listed as
Alabama Hospice Care of MobileCCN 011558 · All quality measures
Ownership
Other
Certified
Oct 3, 1997
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

4318 Downtowner Loop N
Ste R
Mobile, AL 36609
Phone (251) 345-1023

6001 Airport Blvd
Ste A
Mobile, AL 36608
Phone (251) 345-1023

851 E I65 Service Rd S
Ste 1050
Mobile, AL 36606
Phone (850) 262-8645

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
Meghan Williams Individual W-2 Managing EmployeeAdministrator / Director of Nursing Oct 3, 2022
Kimberly Seymour Individual Corporate OfficerCfo/Treasurer Feb 22, 2023
LHC Group Inc Organization, Lafayette, LA Corporation, Chain home office 5% Or Greater Indirect Ownership Interest Apr 1, 2013 100%
Operational/Managerial Control Apr 1, 2013
Joshua Lee Proffitt Individual Corporate OfficerPresident Dec 31, 2019
Alabama Health Care Group, LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Apr 1, 2013 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 2

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": "1344556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1720335680",
    "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": "851 E I65 SERVICE RD S STE 1050",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366063114",
            "telephone_number": "251-345-1023",
            "fax_number": "251-345-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LHCG XXXIV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-10",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149726",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alabama Hospice Care of Mobile",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alabama Hospice Care of Mobile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.