NPIMap

Organization Active NPI

LHCG Lxxxix, LLC

Doing business as Pleasant Valley Home Health

  • Home Health Agency
  • Point Pleasant, WV
National Provider Identifier
1922547363
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LHCG LXXXIX, LLC
Doing business as
Pleasant Valley Home Health
Practice address
2410 Jefferson Ave
Point Pleasant, WV 25550-1528
Phone
(304) 675-7400
Fax
(304) 675-7401
NPI assigned
Feb 17, 2017
Last updated
Aug 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

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

Addresses

Primary practice location

2410 Jefferson Ave
Point Pleasant, WV 25550-1528

Mailing address

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

Other names 1

  • Pleasant Valley Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170508001058 WV Part A Provider - Home Health Agency 8921385659 Practice locations: Point Pleasant, WV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922547363. Details of each certification follow.

Home health agency certification: CCN 517041

Legal name
LHCG LXXXIX LLC
Doing business as
PLEASANT VALLEY HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 27, 1978
Last certification
Oct 18, 2013
Ownership / control type
Non-Profit
Organization structure
LLCProprietary
Incorporated
Jan 17, 2017 in WV
Enrollment address
2410 Jefferson Ave
Point Pleasant, WV 25550-1528

Care Compare: Home health agency

Medicare Care Compare
Listed as
Pleasant Valley Home HealthCCN 517041 · All quality measures
Overall star rating
3 of 5
Ownership
Non-Profit
Certified
Mar 27, 1978
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
51D2077915LHCG Lxxxix, LLC D/B/a Pleasant Valley Home Health2410 Jefferson Avenue, Point Pleasant, WV 25550Certificate of waiverMay 18, 2028

National Provider Directory

National Provider Directory

Member of 1

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

Locations

2410 Jefferson Ave
Pt Pleasant, WV 25550
Phone (304) 675-7100

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 90%
Marcus Donavon Macip Individual Corporate OfficerSecretary Feb 22, 2023
Kimberly Seymour Individual Corporate OfficerCfo / Treasurer Feb 22, 2023
Pleasant Valley Hospital, Inc. Organization, Point Pleasant, WV Corporation 5% Or Greater Indirect Ownership Interest Apr 1, 2017 10%
West Virginia Health Care Group, LLC Organization, Lafayette, LA LLC 5% Or Greater Indirect Ownership Interest Apr 1, 2017 90%
Wendy S Daigle Individual Corporate DirectorDirector,Licensure & Regulatory Oct 1, 2022
LHC Group Inc Organization, Lafayette, LA 5% Or Greater Indirect Ownership Interest Apr 1, 2017 90%
Operational/Managerial Control Apr 1, 2017
LHCG Lxxxvii LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Apr 1, 2017 100%
Joshua Lee Proffitt Individual Corporate OfficerPresident Aug 1, 2012
Robin L. Pasquale Individual W-2 Managing EmployeeAdministrator / Director of Nursing Sep 30, 2019

Owners & managing parties with NPI records 3

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

Facilities with the same owner 14

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

View all 14

Change-of-ownership history 1

DateEventCounterparty
Apr 1, 2017 Change of OwnershipThis provider was the buyer Pleasant Valley Home HealthCCN 517041, WV, NPI 1528061645

Change of ownership 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 10

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": "1487289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1922547363",
    "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": "2410 JEFFERSON AVE",
            "city": "POINT PLEASANT",
            "state": "WV",
            "postal_code": "255501528",
            "telephone_number": "304-675-7400",
            "fax_number": "304-675-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LHCG LXXXIX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-17",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pleasant Valley Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pleasant Valley Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Point Pleasant, WV

Sources for this page

Verify at the official NPI Registry.