Organization Active NPI

LHCG Cviii, LLC

  • Home Health Agency
  • Shreveport, LA
National Provider Identifier
1780105908
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LHCG CVIII, LLC
Practice address
425 Ashley Ridge Blvd Ste 330a
Shreveport, LA 71106-7226
Phone
(318) 383-6745
Fax
(318) 383-6747
NPI assigned
Jun 28, 2017
Organization subpart
No

Authorized official

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

Change of ownership 1

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

Facilities with the same owner 17

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

View all 17

Affiliated clinicians 30

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

View all 30

Care Compare: Home health agency

Medicare Care Compare
Listed as
Christus Homecare Shreveport-BossierCCN 197074
Overall star rating
4 of 5
Ownership
Proprietary
Certified
May 5, 1982
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
19D1024332Christus Homecare Shreveport-Bossier425 Ashley Ridge Blvd, Suite 330a, Shreveport, LA 71106Certificate of waiverApr 7, 2028

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180416000090 LA Part A Provider - Home Health Agency 9830452390 Practice locations: Shreveport, LA

Home health agency certification: CCN 197074

Legal name
LHCG CVIII LLC
Doing business as
CHRISTUS HOMECARE SHREVEPORT - BOSSIER
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 5, 1982
Last certification
Jul 15, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jun 6, 2017 in LA
Enrollment address
425 Ashley Ridge Blvd
Ste 330a
Shreveport, LA 71106-7226
HHA Branch

All disclosed owners & managing parties 10

Medicare enrollment files

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 60%
Marcus Donavon Macip Individual Corporate OfficerSecretary Feb 22, 2023
Kimberly Seymour Individual Corporate OfficerCfo/Treasurer Feb 22, 2023
Wendy S Daigle Individual Corporate DirectorDirector, Licensure & Regulatory Oct 1, 2022
LHC Group Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Sep 1, 2017 60%
Operational/Managerial Control Sep 1, 2017
Southwest Post-Acute Care Partnership LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Sep 1, 2017 100%
Joshua Lee Proffitt Individual Corporate OfficerSecretary/Treasurer Sep 1, 2017
LHCG Partner II LLC Organization, Lafayette, LA LLC 5% Or Greater Indirect Ownership Interest Sep 1, 2017 60%
Amanda M Nash Individual W-2 Managing EmployeeAdministrator/Dir of Nursing Mar 5, 2018
Operational/Managerial ControlAdministrator/Dir of Nursing Mar 5, 2018
Christus Continuing Care Organization, Irving, TX Corporation 5% Or Greater Indirect Ownership Interest Sep 1, 2017 40%

Change-of-ownership history 1

Medicare enrollment files
DateEventCounterparty
Sep 1, 2017 Change of OwnershipThis provider was the buyer Christus Homecare SchumpertCCN 197074, LA, NPI 1366550998

National Provider Directory

National Provider Directory

Locations

425 Ashley Ridge Blvd
#330A
Shreveport, LA 71106

425 Ashley Ridge Blvd
Ste 330A
Shreveport, LA 71106
Phone (318) 383-6745

1700 Buckner St
Ste 200
Shreveport, LA 71101
Phone (318) 383-6745

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

425 Ashley Ridge Blvd Ste 330a
Shreveport, LA 71106-7226

Mailing address

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

Other practice location 1

1700 Buckner St Ste 200
Shreveport, LA 71101-4400
Phone (318) 681-7200

Other names 1

NPPES NPI Registry
  • CHRISTUS Homecare Shreveport-Bossier Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 4, 2024.

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1780105908",
    "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": "425 ASHLEY RIDGE BLVD STE 330A",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067226",
            "telephone_number": "318-383-6745",
            "fax_number": "318-383-6747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Buckner St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711014400",
            "country_code": "US",
            "telephone_number": "318-681-7200",
            "fax_number": "318-681-6764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LHCG CVIII, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "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": "CHRISTUS Homecare Shreveport-Bossier",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.