Organization Active NPI

LHCG CLXV, LLC

Doing business as University Home Health Services

  • Home Health Agency
  • Waynesboro, GA
National Provider Identifier
1467063529
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LHCG CLXV, LLC
Doing business as
University Home Health Services
Practice address
1101 N Liberty St
Waynesboro, GA 30830-3470
Phone
(706) 554-7013
NPI assigned
Aug 12, 2020
Last updated
May 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

1101 N Liberty St
Waynesboro, GA 30830-3470

Mailing address

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

Other names 1

  • University Home Health Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201201002956 GA Part A Provider - Home Health Agency 4284045956 Practice locations: Sandersville, GA; Waynesboro, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467063529. Details of each certification follow.

Home health agency certification: CCN 117068

Legal name
LHCG CLXV LLC
Doing business as
UNIVERSITY HOME HEALTH SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 1, 1982
Last certification
Nov 29, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
1101 N Liberty St
Waynesboro, GA 30830-3470

Care Compare: Home health agency

Medicare Care Compare
Listed as
University Home Health ServicesCCN 117068 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Jun 1, 1982
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Member of 2

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

Locations

225 Old Millen Hwy
Waynesboro, GA 30830
Phone (706) 554-7013

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
University Health Services,Inc Organization, Augusta, GA Corporation, Chain home office, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 31, 2025 75%
Robert C Cross Individual Corporate DirectorVP Government Reimbursement Dec 31, 2025
W-2 Managing EmployeeVP Government Reimbursement Dec 31, 2025
Joshua Lee Proffitt Individual Corporate OfficerPresident Oct 1, 2020
Amy Cormier Individual Corporate DirectorDirector of Managed Care May 1, 2025
W-2 Managing Employee May 1, 2026

Owners & managing parties with NPI records 1

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

Facilities with the same owner 5

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

Change-of-ownership history 1

DateEventCounterparty
Oct 1, 2020 Change of OwnershipThis provider was the buyer University Home Health WaynesboroCCN 117068, GA, NPI 1912955105

Change of ownership 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1467063529",
    "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": "1101 N LIBERTY ST",
            "city": "WAYNESBORO",
            "state": "GA",
            "postal_code": "308303470",
            "telephone_number": "706-554-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LHCG CLXV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-12",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waynesboro, GA

Sources for this page

Verify at the official NPI Registry.