Active NPI
LHCG Cliii, LLC
- Home Health Agency
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- LHCG CLIII, LLC
- Practice address
- 1117 S Westmoreland Dr Ste B
Orlando, FL 32805-3838 - Phone
- (407) 854-3100
- Fax
- (407) 852-2782
- NPI assigned
- Feb 19, 2020
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1117 S Westmoreland Dr Ste B
Orlando, FL 32805-3838
Mailing address
PO Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307
Other names 1
- Mederi Caretenders
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200821000765 | FL | Part A Provider - Home Health Agency | 4486070380 | Practice locations: Orlando, FL |
Home health agency certification: CCN 107225
- Legal name
- LHCG CLIII LLC
- Doing business as
- MEDERI CARETENDERS
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 7, 1986
- Last certification
- Oct 16, 2020
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- May 27, 2020 in FL
- Enrollment address
- 1117 S Westmoreland Dr
Ste B
Orlando, FL 32805-3838
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Mederi Caretenders
- Overall star rating
- Ownership
- Proprietary
- Certified
- Aug 7, 1986
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0693177 | LHCG Cliii LLC Dba Mederi Caretenders | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
1117 S Westmoreland Dr
Ste B
Orlando, FL 32805
Phone (407) 854-3100
Ownership & related parties
All disclosed owners & managing parties 12
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Unitedhealth Group Incorporated | 5% Or Greater Indirect Ownership Interest | Feb 22, 2023 | 60% |
| Marcus Donavon Macip | Corporate Officer | Feb 22, 2023 | |
| Kimberly Seymour | Corporate Officer | Feb 22, 2023 | |
| Donna Johnson | W-2 Managing Employee | May 19, 2025 | |
| Wendy S Daigle | Corporate Director | Oct 1, 2022 | |
| LHC Health Care Group of Florida, LLC | 5% Or Greater Indirect Ownership Interest | Aug 1, 2020 | 60% |
| Healthnet Services Inc. | 5% Or Greater Indirect Ownership Interest | Aug 1, 2020 | 40% |
| Bethany Bell | W-2 Managing Employee | May 8, 2023 | |
| LHC Group Inc | 5% Or Greater Indirect Ownership Interest | Aug 1, 2020 | 60% |
| Joshua Lee Proffitt | Corporate Officer | Aug 1, 2020 | |
| Central Florida Parternship LLC | 5% Or Greater Direct Ownership Interest | Aug 1, 2020 | 100% |
| Amy Cormier | Corporate Director | May 1, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Physical Therapist
- Tallahassee, FL
- NPI 1427924810
5% Or Greater Indirect Ownership Interest
Facilities with the same owner 8
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Home Health Agency
- St Petersburg, FL
- NPI 1407816465
Central Florida Parternship LLC, Healthnet Services Inc., LHC Health Care Group of Florida, LLC
-
- Home Health Agency
- Clermont, FL
- NPI 1063045961
Central Florida Parternship LLC, Healthnet Services Inc., LHC Health Care Group of Florida, LLC
-
- Home Health Agency
- Leesburg, FL
- NPI 1649804220
Central Florida Parternship LLC, Healthnet Services Inc., LHC Health Care Group of Florida, LLC
-
- Home Health Agency
- Kissimmee, FL
- NPI 1639703218
Central Florida Parternship LLC, Healthnet Services Inc., LHC Health Care Group of Florida, LLC
-
- Home Health Agency
- Longwood, FL
- NPI 1568082402
Central Florida Parternship LLC, Healthnet Services Inc., LHC Health Care Group of Florida, LLC
-
- Home Health Agency
- Titusville, FL
- NPI 1306292370
LHC Health Care Group of Florida, LLC
-
- Home Health Agency
- Ocala, FL
- NPI 1316072887
LHC Health Care Group of Florida, LLC
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Aug 1, 2020 | Change of Ownership | Orlando Health Home Care |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
Practitioners & affiliated clinicians
Affiliated clinicians 43
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1871821447
Home health agency
-
- Geriatric Medicine (Internal Medicine) Physician
- Winter Garden, FL
- NPI 1790783389
Home health agency
-
- Family Medicine Physician
- Winter Garden, FL
- NPI 1417527318
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712534400000",
"number": "1093348997",
"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": "1117 S WESTMORELAND DR STE B",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328053838",
"telephone_number": "407-854-3100",
"fax_number": "407-852-2782"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LHCG CLIII, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-19",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"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": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mederi Caretenders",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.