NPIMap

Organization Active NPI

LHCG CXLV, LLC

Doing business as AtlantiCare Home Health

  • Home Health Agency
  • Egg Harbor Township, NJ
National Provider Identifier
1154884401
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LHCG CXLV, LLC
Doing business as
AtlantiCare Home Health
Practice address
500 Scarborough Dr Ste 302a
Egg Harbor Township, NJ 08234-4858
Phone
(609) 484-7300
Fax
(609) 407-5376
NPI assigned
Apr 12, 2019
Last updated
Apr 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Authorized official

Name
Joshau L Proffitt
Title
President
Phone
(337) 233-1307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

500 Scarborough Dr Ste 302a
Egg Harbor Township, NJ 08234-4858

Mailing address

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

Other practice location 1

6550 Delilah Rd Ste 304
Egg Harbor Township, NJ 08234-5102
Phone (609) 484-7300

Other names 1

  • AtlantiCare Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191114003057 NJ Part A Provider - Home Health Agency 5294167110 Practice locations: Egg Harbor Township, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154884401. Details of each certification follow.

Home health agency certification: CCN 317072

Legal name
LHCG CXLV, LLC
Doing business as
PATIENT CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 28, 1984
Last certification
Jan 12, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Dec 4, 2018 in NJ
Enrollment address
500 Scarborough Dr
Ste 302a
Egg Harbor Township, NJ 08234-4858

Care Compare: Home health agency

Medicare Care Compare
Listed as
Patient CareCCN 317072 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Dec 28, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, 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
31D2168414LHCG CXLV, LLC500 Scarborough Drive, Egg Harbor Township, NJ 08234Certificate of waiverJun 27, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

  • Geisinger Clinic

    dba PrimeMed Medical Grp Clark Summit in collaboration w/Geisinger Clinic

    • Family Medicine Physician
    • Clarks Summit, PA
    • NPI 1952719619

    Member Of

    NPD member

Locations

500 Scarborough Dr
Ste 302A
Egg Harbor Township, NJ 08234
Phone (609) 484-7300

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
Kristen Domenico Individual W-2 Managing EmployeeDon Nov 4, 2024
Unitedhealth Group Incorporated Organization, Minnetonka, MN Corporation 5% Or Greater Indirect Ownership Interest Feb 22, 2023 100%
Marcus Donavon Macip Individual Corporate OfficerSecretary Apr 1, 2024
Lillian Cortez Individual W-2 Managing EmployeeAd; Jun 16, 2025
Kimberly Seymour Individual Corporate OfficerTreasurer Apr 1, 2024
New Jersey Health Care Group LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Apr 1, 2024 100%
Wendy S Daigle Individual Corporate DirectorDirector, Licensure & Regulatory Oct 1, 2022
LHC Group Inc Organization, Lafayette, LA Corporation, Chain home office 5% Or Greater Indirect Ownership Interest Jun 1, 2019 100%
Operational/Managerial Control Jun 1, 2019
Joshua Lee Proffitt Individual Corporate OfficerPresident Jun 1, 2019
Amy Cormier Individual Corporate DirectorDirector, Managed Care Network May 1, 2025

Facilities with the same owner 1

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

  • LHCG Cxliv, LLC

    dba AtlantiCare Hospice

    • Community Based Hospice Care Agency
    • Egg Harbor Township, NJ
    • NPI 1720541071

    New Jersey Health Care Group LLC

    CMS ownership

Change-of-ownership history 1

DateEventCounterparty
Jun 1, 2019 Change of OwnershipThis provider was the buyer Atlanticare Home CareCCN 317072, NJ, NPI 1437154820

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 71

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 71

NPI Registry JSON

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1154884401",
    "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": "500 SCARBOROUGH DR STE 302A",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082344858",
            "telephone_number": "609-484-7300",
            "fax_number": "609-407-5376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6550 Delilah Rd Ste 304",
            "address_purpose": "LOCATION",
            "city": "Egg Harbor Township",
            "state": "NJ",
            "postal_code": "082345102",
            "country_code": "US",
            "telephone_number": "609-484-7300",
            "fax_number": "609-407-5376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LHCG CXLV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-12",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "JOSHAU",
        "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": "AtlantiCare Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AtlantiCare Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Egg Harbor Township, NJ

Sources for this page

Verify at the official NPI Registry.