LHCG CXL, LLC
Organization Active NPI Community Based Hospice Care Agency · Danville, PA
NPI 1972060226 · NPPES record last updated May 21, 2020
Key facts
- NPI
- 1972060226
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- LHCG CXL, LLC
- 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
- Organization subpart
- No
Authorized official
- Name
- Nicholas Gachassin III
- Title
- Secretary/Treasurer
- Phone
- (337) 233-1307
Owners & managing parties with NPI records 8
-
James Joseph, MD
Member of 1
Change of ownership 1
Facilities with the same owner 6
Affiliated clinicians 7
-
Bradley Eugene Brocious, D.O.
-
Nileena George, DO
-
Thomas A. Hepner Jr., M.D.
-
John Gary Kemberling, D.O.
-
John F. Pagnotto, D.O.
-
Vikas Passi, MD
Medicare Care Compare: Hospice
- Listed as
- Geisinger Hospice
- Ownership
- For-Profit
- Certified
- Jan 23, 1989
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2165791 | LHCG CXL, LLC D/B/a Geisinger Hospice | Certificate of waiver | May 6, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
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
- LLC · Proprietary
- Incorporated
- Dec 7, 2018 in PA
- Enrollment address
- 74 School House Rd
Ste 104
Danville, PA 17821-8162
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Unitedhealth Group Incorporated |
5% Or Greater Indirect Ownership Interest | Feb 22, 2023 | 75% |
| James William Joseph |
Contracted Managing Employee |
Oct 18, 2021 | |
| Marcus Donavon Macip |
Corporate Officer |
Feb 22, 2023 | |
| Kimberly Seymour |
Corporate Officer |
Feb 22, 2023 | |
| Pennsylvania in-Home Healthcare Partnership-I LLC |
5% Or Greater Direct Ownership Interest | Apr 1, 2019 | 100% |
| Amy Lutz |
W-2 Managing Employee |
Feb 12, 2024 | |
| Geisinger Clinic |
5% Or Greater Indirect Ownership Interest | Apr 1, 2019 | 25% |
| Wendy S Daigle |
Corporate Director |
Oct 1, 2022 | |
| LHC Group Inc |
5% Or Greater Indirect Ownership Interest | Apr 1, 2019 | 75% |
| Pennsylvania Health Care Group Holdings LLC |
5% Or Greater Indirect Ownership Interest | Apr 1, 2019 | 75% |
| Joshua Lee Proffitt |
Corporate Officer |
Apr 1, 2019 | |
| Risant Health, Inc. |
5% Or Greater Indirect Ownership Interest | Mar 31, 2024 | 25% |
| Amy Cormier |
Corporate Director |
May 1, 2025 |
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| Apr 1, 2019 | Change of Ownership |
Geisinger Home Health & Hospice |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190613002225 | PA | Part a Provider - Hospice | 0749513331 | Practice locations: Danville, PA; Lewistown, PA; Selinsgrove, PA |
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
1253 N Susquehanna Trl
#102
Selinsgrove, PA 17870
Phone (570) 473-6317
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes |
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
- Geisinger Hospice
Other providers in Danville, PA
- Alicia Monique Lewis
- Anthony James Lewis
- Erica Elise Lewis
- Gary Owen Lewis
- Karen B. Lewis
- LHCG Cxli, LLC
- Hongjie Li
- Jinhong Li
- Liping Li
- Ruihan Li
All providers in Danville, PA · Community Based Hospice Care Agency in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.