Organization Active NPI

LHCG Xxxvii, LLC

Doing business as LHC-Illinois Home Health Care

  • Home Health Agency
  • Marion, IL
National Provider Identifier
1740527407
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LHCG XXXVII, LLC
Doing business as
LHC-Illinois Home Health Care
Practice address
906 Skyline Dr
Suite 200
Marion, IL 62959-4876
Phone
(618) 997-6565
Fax
(618) 993-5892
NPI assigned
Jan 14, 2013
Last updated
Mar 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

906 Skyline Dr
Suite 200
Marion, IL 62959-4876

Mailing address

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

Other names 1

  • LHC-Illinois Home Health Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130409000174 IL Part A Provider - Home Health Agency 9537305933 Practice locations: Effingham, IL; Marion, IL; Mount Vernon, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740527407. Details of each certification follow.

Home health agency certification: CCN 147716

Legal name
LHCG XXXVII, LLC
Doing business as
LHC-ILLINOIS HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 26, 2001
Last certification
Mar 21, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jan 7, 2013 in IL
Enrollment address
906 Skyline Dr
Ste 200
Marion, IL 62959-4876

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
LHC-Illinois Home Health CareCCN 147716 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Nov 26, 2001
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, 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
14D0990300Illinois Home Health Care906 Skyline Drive, Suite 200, Marion, IL 62959Certificate of waiverAug 19, 2027

National Provider Directory

National Provider Directory
Tax ID family
LHC-Illinois Home Health Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

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

Ownership & 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.

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
Illinois Health Care Group LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Mar 1, 2013 100%
Laura Lowery Individual W-2 Managing EmployeeAgency Supervisor Sep 1, 2025
Kimberly Seymour Individual Corporate OfficerTreasurer Feb 22, 2023
Wendy S Daigle Individual Corporate OfficerDirector of Licensure Oct 1, 2022
LHC Group Inc Organization, Lafayette, LA Corporation, Chain home office 5% Or Greater Indirect Ownership Interest Mar 1, 2013 100%
Joshua Lee Proffitt Individual Corporate OfficerPresident Mar 1, 2013
Amy Cormier Individual Corporate DirectorDirector of Managed Care May 1, 2025
Jean Lenzini Individual W-2 Managing EmployeeAdministrator Jan 5, 2020

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Affiliated clinicians 173

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

View all 173

NPI Registry JSON

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522195200000",
    "number": "1740527407",
    "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": "906 SKYLINE DR",
            "address_2": "SUITE 200",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629594876",
            "telephone_number": "618-997-6565",
            "fax_number": "618-993-5892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LHCG XXXVII, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-14",
        "last_updated": "2018-03-28",
        "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"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LHC-Illinois Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LHC-Illinois Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marion, IL

Sources for this page

Verify at the official NPI Registry.