LHCG Clxii, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

LHCG CLXII, LLC

Practice address

8000 Centerview Pkwy Ste 405
Cordova, TN 38018-4227

Phone

(901) 343-8100

Fax

(901) 343-8099

NPI assigned

Aug 24, 2020

Organization subpart

No

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

Authorized official

Name

Joshua L Proffitt

Title

President

Phone

(337) 233-1307

Specialties & licenses 1

Addresses

Other names 1

• Baptist Trinity Palliative Care Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy N Kaiser, NP

  • Adult Health Nurse Practitioner
  • Germantown, TN
  • NPI 1477001055
  Medicare reassignment Care Compare group NPD
• Amanda Grubbs Ranson, FNP-C

  • Nurse Practitioner
  • Memphis, TN
  • NPI 1457134686
  Medicare reassignment Care Compare group NPD
• Sherlean D Shugars, NP

  • Family Nurse Practitioner
  • Southaven, MS
  • NPI 1013507599

  TN

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1023620739",
    "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": "8000 CENTERVIEW PKWY STE 405",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184227",
            "telephone_number": "901-343-8100",
            "fax_number": "901-343-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LHCG CLXII, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-24",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baptist Trinity Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baptist Trinity Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caryn Lerma
• Wilk Noir Lester, RBT
• Chelsea A.R. Lesure
• Christopher J Lewis
• Taylor Lynn Lewis, RBT
• LHCG Xciii, LLC
• LHCG XCV, LLC
• Life Line Transport LLC
• Lindas Compassionate Care Home LLC
• Lioms Lifeline Transportation LLC

• Nurse Practitioner in Cordova, TN
• Providers in Cordova, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.