LHCG Xvii, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

LHCG XVII, LLC

Practice address

722 N College Rd Ste 125
Twin Falls, ID 83301-6486

Phone

(208) 595-3538

Fax

(208) 733-5980

NPI assigned

May 14, 2010

Last updated

Jul 15, 2026By the provider in NPPES

Organization subpart

No

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

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730407701. Details of each certification follow.

• CCN 131501 Hospice · Active · Details

Hospice certification: CCN 131501

Legal name

LHCG XVII, LLC

Doing business as

IDAHO HOME HEALTH & HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Apr 5, 1984

Last certification

Nov 5, 2021

Ownership / control type

Other

Organization structure

LLCProprietary

Incorporated

Apr 22, 2010 in ID

Enrollment address

722 N College Rd
Ste 125
Twin Falls, ID 83301-6486

Other NPIs with the same Medicare PAC ID 1

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

• LHCG Xvii, LLC

  dba Idaho Home Health & Hospice

  • Home Health Agency
  • Twin Falls, ID
  • NPI 1356669675

  8426180977

  Same PAC ID

Listed as

Idaho Home Health & HospiceCCN 131501 · All quality measures

Ownership

Other

Certified

Apr 5, 1984

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

Idaho Home Care Supply5 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.

• LHCG Xvii, LLC

  dba Idaho Home Care Supply

  • Durable Medical Equipment & Medical Supplies
  • Twin Falls, ID
  • NPI 1215248489
  NPD tax ID
• LHCG Xvii, LLC

  dba Idaho Home Health & Hospice

  • Home Health Agency
  • Twin Falls, ID
  • NPI 1356669675
  NPD tax ID
• LHCG Xvii, LLC

  dba Idaho Home Care Supply

  • Durable Medical Equipment & Medical Supplies
  • Rupert, ID
  • NPI 1700107901
  NPD tax ID
• LHCG Xvii, LLC

  dba Idaho Home Care Supply

  • Durable Medical Equipment & Medical Supplies
  • Hailey, ID
  • NPI 1952614943
  NPD tax ID

Locations

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

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

• Nathan Kent Allen, D.O.

  • Family Medicine Physician
  • Twin Falls, ID
  • NPI 1881908366

  Contracted Managing Employee

  CMS ownership

Facilities with the same owner 5

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

• Heart 'N Home Hospice and Palliative Care, LLC

  dba Heart 'n Home Hospice and Palliative Care

  • Community Based Hospice Care Agency
  • Fruitland, ID
  • NPI 1073514329

  Idaho Health Care Group, LLC

  CMS ownership
• HNH Birdie One, LLC

  dba Idaho Home Health & Hospice of Treasure Valley

  • Community Based Hospice Care Agency
  • Caldwell, ID
  • NPI 1174130264

  Idaho Health Care Group, LLC

  CMS ownership
• Idaho in-Home Partner-I, LLC

  dba Heart 'n Home Hospice

  • Community Based Hospice Care Agency
  • Lewiston, ID
  • NPI 1326697558

  Idaho Health Care Group, LLC

  CMS ownership
• LHCG Xvii, LLC

  dba Idaho Home Health & Hospice

  • Home Health Agency
  • Twin Falls, ID
  • NPI 1356669675

  Idaho Health Care Group, LLC

  CMS ownership
• LHCG Xxi, LLC

  dba North Idaho Home Health

  • Home Health Agency
  • Coeur d'Alene, ID
  • NPI 1053620799

  Idaho Health Care Group, LLC

  CMS ownership

Affiliated clinicians 3

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

• Nathan Kent Allen, D.O.

  • Family Medicine Physician
  • Twin Falls, ID
  • NPI 1881908366

  Hospice

  Care Compare affiliation
• Natalie A Domangue-Shiflett, MD

  • Family Medicine Physician
  • Meridian, ID
  • NPI 1376510123

  Hospice

  Care Compare affiliation
• Mark A Johnson, DO

  • Family Medicine Physician
  • Meridian, ID
  • NPI 1376707034

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1730407701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 HUGH WALLIS RD S",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705082511",
            "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": "722 N COLLEGE RD STE 125",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016486",
            "telephone_number": "208-595-3538",
            "fax_number": "208-733-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LHCG XVII, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-14",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "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": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faye L Lewis, LPN
• Heidi K Lewis, DNP, FNP-C
• Maryann Lewis, LMSW
• LHCG Xvii, LLC (Idaho Home Care Supply)
• LHCG Xvii, LLC (Idaho Home Health & Hospice)
• Hailee Li, FNP-BC
• Life Balance Counseling LLC
• Life Connections LLC
• Life in Progress LLC
• Lifespan Primary Care LLC

• Community Based Hospice Care Agency in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Community Based Hospice Care Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.

Verify at the official NPI Registry.