LHC Group Inc. completed its merger with Almost Family Inc. after the shareholders of both companies approved the deal.

The all-stock merger of Lafayette, La.-based LHC and Louisville, Ky.-based Almost Family will become effective April 1.

The transaction creates the second largest in-home healthcare provider in the U.S. with more than 780 locations in 36 states.

Under the merger, Almost Family shareholders will receive 0.9150 of a share of LHC Group for every Almost Family share they own at the effective time of the merger.

Shares of Almost Family ceased trading at the close of the Nasdaq stock market on March 29. The combined company will operate under the LHC Group name, and the common shares will trade on the Nasdaq under the ticker symbol LHCG.

The transaction secured U.S. antitrust clearance in February after the waiting period under the Hart-Scott-Rodino Act expired.