Organization Active NPI

LHCG Lvi, LLC

Doing business as At Home Healthcare

  • Home Health Agency
  • Peoria, AZ
National Provider Identifier
1992111645
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LHCG LVI, LLC
Doing business as
At Home Healthcare
Practice address
8249 W Thunderbird Rd Ste 150
Peoria, AZ 85381-4604
Phone
(480) 991-3303
Fax
(480) 922-4944
NPI assigned
Jul 2, 2014
Last updated
Jan 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

8249 W Thunderbird Rd Ste 150
Peoria, AZ 85381-4604

Mailing address

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

Other names 1

  • At Home Healthcare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141002000030 AZ Part A Provider - Home Health Agency 1456571389 Practice locations: Peoria, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992111645. Details of each certification follow.

Home health agency certification: CCN 037215

Legal name
LHCG LVI, LLC
Doing business as
AT HOME HEALTHCARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 2, 1998
Last certification
Feb 5, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jun 20, 2014 in AZ
Enrollment address
8249 W Thunderbird Rd
Ste 150
Peoria, AZ 85381-4604

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
At Home HealthcareCCN 037215 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Dec 2, 1998
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, 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
03D0938109LHCG Lvi, LLC Dba at Home Healthcare8249 W Thunderbird Rd Ste 150, Peoria, AZ 85381Certificate of waiverDec 29, 2027

National Provider Directory

National Provider Directory
Tax ID family
At Home Healthcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8249 W Thunderbird Rd
Ste 150
Peoria, AZ 85381
Phone (480) 991-3303

1550 E Missouri Ave
Ste 102
Phoenix, AZ 85014

17 W Wetmore Rd
Ste 201
Tucson, AZ 85705
Phone (520) 327-9889

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 OfficerCoo Apr 13, 2026
W-2 Managing EmployeeCoo Apr 13, 2026
Joni Babineaux Individual Corporate OfficerCfo Apr 13, 2026
Wendy S Daigle Individual Corporate DirectorDirector of Licensure & Reg Affairs Oct 1, 2022
LHC Group Inc Organization, Lafayette, LA Corporation, Chain home office 5% Or Greater Indirect Ownership Interest Sep 1, 2014 100%
Arizona Health Care Group LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Sep 1, 2014 100%
Joshua Lee Proffitt Individual Corporate OfficerPresident Sep 1, 2014
Janice Beattie-Myers Individual W-2 Managing EmployeeExecutive Director Oct 27, 2025
Amy Cormier Individual Corporate DirectorDirector of Managed Care May 1, 2025

Facilities with the same owner 6

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

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": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1992111645",
    "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": "8249 W THUNDERBIRD RD STE 150",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814604",
            "telephone_number": "480-991-3303",
            "fax_number": "480-922-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LHCG LVI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "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_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "At Home Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "At Home Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.