LG Charity Home Health Care Services, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LG CHARITY HOME HEALTH CARE SERVICES, INC

Practice address

2401 Callender Rd Ste 109
Mansfield, TX 76063-8869

Phone

(817) 617-2381

Fax

(817) 617-2379

NPI assigned

Nov 20, 2006

Last updated

Feb 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Loveline Mafor NcheNPI 1467891937

Title

Administrator

Phone

(817) 617-2381

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336213537. Details of each certification follow.

• CCN 747063 Home health agency · Active · Details

Home health agency certification: CCN 747063

Legal name

LG CHARITY HOME HEALTH CARE SERVICES, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 21, 2008

Last certification

Jan 14, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Oct 9, 2017 in TX

Enrollment address

2401 Callender Rd
Ste 109
Mansfield, TX 76063-8869

Listed as

LG Charity Home Health Care Services IncCCN 747063 · All quality measures

Ownership

Proprietary

Certified

Nov 21, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Loveline M Nche

  • Family Nurse Practitioner
  • Mansfield, TX
  • NPI 1467891937

  5% Or Greater Direct Ownership Interest, Corporate Director

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Loveline M Nche

  • Family Nurse Practitioner
  • Mansfield, TX
  • NPI 1467891937
  NPD Authorized official

Affiliated clinicians 1

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

• John A Adiet, MD

  • Family Medicine Physician
  • Conroe, TX
  • NPI 1245429158

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1336213537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9535 FOREST LN STE 246",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752435959",
            "telephone_number": "469-372-0882",
            "fax_number": "469-420-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 CALLENDER RD STE 109",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638869",
            "telephone_number": "817-617-2381",
            "fax_number": "817-617-2379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LG CHARITY HOME HEALTH CARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "NCHE",
        "authorized_official_first_name": "LOVELINE",
        "authorized_official_middle_name": "MAFOR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-617-2381"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hadiyah Lewis
• Jack Byron Lewis, M.D.
• Karen Lyvette Lewis
• Kendra Schrisse Lewis, LPC-A
• Matthew G Lewis, LPC ASSOCIATE
• William Lian, M.D.
• Life Chapters Counseling, PLLC
• Life-First Home Health Care, Inc.
• Lifeforge, PLLC (Calibration Chiropractic)
• Aeni Lim, DDS

• Home Health Agency in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.

Verify at the official NPI Registry.