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LHCG XXI, LLC

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Company Details

Name: LHCG XXI, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 17 Sep 2010 (15 years ago)
Financial Date End: 30 Sep 2026
Entity Number: 298908
Place of Formation: IDAHO
File Number: 298908
Principal Address: 901 HUGH WALLIS ROAD SOUTH LAFAYETTE, LA 70508

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 10020 W FAIRVIEW AVE, STE 104, BOISE, ID 83704

Manager

Name Role Address Appointed On Resigned On
LHC Group, Inc. Manager 901 HUGH WALLIS ROAD SOUTH, LAFAYETTE, LA 70508-2511 2020-09-21 2024-08-13

Member

Name Role Address Appointed On
Idaho Health Care Group, LLC Member 901 HUGH WALLIS ROAD SOUTH, LAFAYETTE, LA 70508 2024-08-13

Unique Entity ID

Unique Entity ID:
CQFGDKL73AF1
CAGE Code:
9MAM2
UEI Expiration Date:
2024-07-11

Business Information

Activation Date:
2023-07-18
Initial Registration Date:
2023-06-30

Commercial and government entity program

CAGE number:
9MAM2
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2024-07-11
CAGE Expiration:
2028-07-18
SAM Expiration:
2024-07-11

Contact Information

POC:
DANA NELSON

Highest Level Owner

Vendor Certified:
2023-07-14
CAGE number:
02XQ3
Company Name:
UNITEDHEALTH GROUP INCORPORATED

Immediate Level Owner

Vendor Certified:
2023-07-14
CAGE number:
7QVU7
Company Name:
LHC GROUP, INC.

National Provider Identifier

NPI Number:
1053620799

Authorized Person:

Name:
DONALD D STELLY
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
Yes

Contacts:

Fax:
3372335764
Fax:
2087652236

Filing

Filing Name Filing Number Filing date
Annual Report 0006397292 2025-08-11
Registered Agent Name/Address Change (mass change) 0006271570 2025-05-27
Annual Report 0005857814 2024-08-13
Change of Registered Office/Agent/Both (by Entity) 0005481699 2023-11-16
Annual Report 0005388429 2023-09-07

OSHA's Inspections within Industry

Inspection Summary

Date:
2021-04-27
Type:
Planned
Address:
COUER D'ALENE AREA LOCATIONS, COEUR D ALENE, ID, 83815
Safety Health:
Health
Scope:
Partial

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Date of last update: 01 Sep 2025

Sources: Idaho Secretary of State