NPIMap

Organization Active NPI

LHCG Lxxix, LLC

  • Community Based Hospice Care Agency
  • Scottsboro, AL
National Provider Identifier
1831556372
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
LHCG LXXIX, LLC
Practice address
401 S Market St
Scottsboro, AL 35768-1809
Phone
(256) 259-1754
Fax
(256) 259-1790
NPI assigned
Jan 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
Mr. Nicholas Gachassin III
Title
Executive Vice President
Phone
(337) 233-1307

Specialties & licenses 1

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

Addresses

Primary practice location

401 S Market St
Scottsboro, AL 35768-1809

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
PIC1634EMedicaidAL

Other names 1

  • Heartlite Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160411000992 AL Part A Provider - Hospice 6507164456 Practice locations: Scottsboro, AL

Hospice certification: CCN 011634

Legal name
LHCG LXXIX, LLC
Doing business as
HEARTLITE HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 2, 2005
Last certification
Sep 18, 2019
Ownership / control type
Proprietary - Other
Organization structure
LLCProprietary
Incorporated
Jan 29, 2016 in AL
Enrollment address
401 S Market St
Scottsboro, AL 35768-1809

Care Compare: Hospice

Medicare Care Compare
Listed as
Heartlite HospiceCCN 011634
Ownership
Other
Certified
Nov 2, 2005
Medicare certification status
ActiveFrom the Provider of Services file

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
01D2109907Dba Heartlite Hospice401 S Market Street, Scottsboro, AL 35768Certificate of waiverMar 3, 2028

National Provider Directory

National Provider Directory

Locations

111 E Laurel St
Scottsboro, AL 35768
Phone (256) 259-1754

401 S Market St
Scottsboro, AL 35768

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
Kimberly Seymour Individual Corporate OfficerCfo/Treasurer Feb 22, 2023
Wendy S Daigle Individual Corporate DirectorDirector of Licensure & Reg Affairs Oct 1, 2022
LHC Group Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Mar 1, 2016 100%
Amy Berry Individual W-2 Managing EmployeeAdministrator / Director of Nurses Aug 14, 2023
Joshua Lee Proffitt Individual Corporate OfficerPresident Mar 1, 2016
Alabama Health Care Group, LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Mar 1, 2016 100%
Jack Englert Individual W-2 Managing EmployeeMD; Jan 1, 2026
Amy Cormier Individual Corporate DirectorDirector, Managed Care Network May 1, 2025

Owners & managing parties with NPI records 2

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

Change-of-ownership history 1

DateEventCounterparty
Mar 1, 2016 Change of OwnershipThis provider was the buyer Heartlite HospiceCCN 011634, AL, NPI 1003872649

Change of ownership 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 6

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": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1831556372",
    "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": "401 S MARKET ST",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357681809",
            "telephone_number": "256-259-1754",
            "fax_number": "256-259-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LHCG LXXIX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "GACHASSIN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PIC1634E",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartlite Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heartlite Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsboro, AL

Sources for this page

Verify at the official NPI Registry.