Organization Active NPI

LHCG CXL, LLC

Doing business as Geisinger Hospice

  • Community Based Hospice Care Agency
  • Danville, PA
National Provider Identifier
1972060226
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
LHCG CXL, LLC
Doing business as
Geisinger Hospice
Practice address
74 School House Rd Ste 104
Danville, PA 17821-8162
Phone
(570) 784-1723
Fax
(570) 784-8512
NPI assigned
Feb 22, 2019
Last updated
May 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Nicholas Gachassin III
Title
Secretary/Treasurer
Phone
(337) 233-1307

Specialties & licenses 1

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

Addresses

Primary practice location

74 School House Rd Ste 104
Danville, PA 17821-8162

Mailing address

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

Other names 1

  • Geisinger Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190613002225 PA Part A Provider - Hospice 0749513331 Practice locations: Danville, PA; Lewistown, PA; Selinsgrove, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972060226. Details of each certification follow.

Hospice certification: CCN 391533

Legal name
LHCG CXL LLC
Doing business as
GEISINGER HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 23, 1989
Last certification
Mar 1, 2021
Ownership / control type
Other
Organization structure
LLCProprietary
Incorporated
Dec 7, 2018 in PA
Enrollment address
74 School House Rd
Ste 104
Danville, PA 17821-8162

Care Compare: Hospice

Medicare Care Compare
Listed as
Geisinger HospiceCCN 391533 · All quality measures
Ownership
For-Profit
Certified
Jan 23, 1989
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
39D2165791LHCG CXL, LLC D/B/a Geisinger Hospice74 School House Rd, Suite 104, Danville, PA 17821Certificate of waiverMay 6, 2027

National Provider Directory

National Provider Directory

Member of 1

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

Locations

74 School House Rd
Unit 104
Danville, PA 17821
Phone (570) 784-1723

106 Derry Heights Blvd
Ste 302
Lewistown, PA 17044
Phone (717) 363-9443

61 Duke St
Northumberlnd, PA 17857
Phone (570) 473-8320

1253 N Susquehanna Trl
#102
Selinsgrove, PA 17870
Phone (570) 473-6317

Ownership & related parties

All disclosed owners & managing parties 13

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 75%
James William Joseph Individual Contracted Managing EmployeeMD; Oct 18, 2021
Marcus Donavon Macip Individual Corporate OfficerCorporate Secretary Feb 22, 2023
Kimberly Seymour Individual Corporate OfficerTreasurer Feb 22, 2023
Pennsylvania in-Home Healthcare Partnership-I LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Apr 1, 2019 100%
Amy Lutz Individual W-2 Managing EmployeeAd; Feb 12, 2024
Geisinger Clinic Organization, Danville, PA Corporation 5% Or Greater Indirect Ownership Interest Apr 1, 2019 25%
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 Apr 1, 2019 75%
Pennsylvania Health Care Group Holdings LLC Organization, Lafayette, LA LLC 5% Or Greater Indirect Ownership Interest Apr 1, 2019 75%
Joshua Lee Proffitt Individual Corporate OfficerPresident Apr 1, 2019
Risant Health, Inc. Organization, Oakland, CA Corporation 5% Or Greater Indirect Ownership Interest Mar 31, 2024 25%
Amy Cormier Individual Corporate DirectorDirector, Managed Care Network May 1, 2025

Owners & managing parties with NPI records 8

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

Facilities with the same owner 6

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

Change-of-ownership history 1

DateEventCounterparty
Apr 1, 2019 Change of OwnershipThis provider was the buyer Geisinger Home Health & HospiceCCN 391533, PA, NPI 1477559276

Change of ownership 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 7

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": "1550793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1972060226",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 SCHOOL HOUSE RD STE 104",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178218162",
            "telephone_number": "570-784-1723",
            "fax_number": "570-784-8512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LHCG CXL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-22",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "GACHASSIN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "337-233-1307",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Geisinger Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Geisinger Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Danville, PA

Sources for this page

Verify at the official NPI Registry.