LHCG Cciv, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

LHCG CCIV, LLC

Doing business as

Freda H. Gordon Palliative Care

Practice address

6477 College Park SQ Ste 316
Virginia Beach, VA 23464-3611

Phone

(757) 452-6932

Fax

(757) 905-4316

NPI assigned

Sep 20, 2021

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 2

Addresses

Other names 1

• Freda H. Gordon Palliative Care Doing business as

Locations

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1205506284",
    "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": "337-443-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6477 COLLEGE PARK SQ STE 316",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234643611",
            "telephone_number": "757-452-6932",
            "fax_number": "757-905-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LHCG CCIV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-20",
        "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": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freda H. Gordon Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Freda H. Gordon Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janine Wiltse Lex, DC
• Melissa Rachel Lexier, M.D.
• Frederick Leybag, DPT
• Lucy Leyden, PHYSICAL THERAPIST
• Matthew N Leyton, MD
• LHCG Cxcix, LLC (Freda H. Gordon Hospice)
• LHCG Cxcviii, LLC (Generations Home Health)
• Monica Ka Yi Li, M.D.
• Wenhong Li, M.D.
• Xiao Hong Li

• Nurse Practitioner in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Nurse Practitioner in Virginia

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.