NPIMap

Organization Active NPI

LHCG Lxii, LLC

Doing business as Tennessee Home Health

  • Home Health Agency
  • Cleveland, TN
National Provider Identifier
1487068128
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LHCG LXII, LLC
Doing business as
Tennessee Home Health
Practice address
4395 Ocoee St N
Cleveland, TN 37312-4832
Phone
(423) 478-8023
Fax
(423) 478-8870
NPI assigned
Jun 19, 2014
Last updated
Jun 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Authorized official

Name
Amber L Tueller
Title
Secretary
Phone
(208) 207-2726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4395 Ocoee St N
Cleveland, TN 37312-4832

Mailing address

4395 Ocoee St N
Cleveland, TN 37312-4832
Phone (423) 478-8023

Other names 1

  • Tennessee Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140927000527 TN Part A Provider - Home Health Agency 6709006638 Practice locations: Cleveland, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487068128. Details of each certification follow.

Home health agency certification: CCN 447552

Legal name
LHCG LXII, LLC
Doing business as
FRONTIER HOSPICE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 28, 1997
Last certification
Mar 5, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
4395 North Ocoee Street
Cleveland, TN 37312-4999

Care Compare: Home health agency

Medicare Care Compare
Listed as
Tennessee Home HealthCCN 447552 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Feb 28, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, 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
44D0925242LHCG Lxii, LLC4395 N Ocoee Street, Cleveland, TN 37312Certificate of waiverFeb 20, 2027

National Provider Directory

National Provider Directory

Locations

4395 Ocoee St N
Cleveland, TN 37312

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Cornerstone Healthcare Inc Organization, Eagle, ID Corporation, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Oct 1, 2025 100%
Michael Magette Individual Corporate OfficerTreasurer Oct 1, 2025
Jonathan Travis Jones Individual W-2 Managing EmployeeAdministrator Designee Dec 14, 2024
Molly Dame Individual W-2 Managing EmployeeDirector of Clinical Services Aug 19, 2025
Brent Guerisoli Individual Corporate DirectorDirector & Sole Board Member Oct 1, 2025
Charles S Childers Individual Contracted Managing EmployeeMD; Dec 3, 2025
W-2 Managing EmployeeMD; Dec 3, 2025
The Pennant Group Inc Organization, Eagle, ID Corporation, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2025 100%
Lisa Flores Individual W-2 Managing EmployeeDirector of Clinical SVCS Designee Nov 21, 2025
Shelton Johnson Individual Contracted Managing EmployeeAd;Executive Director Oct 27, 2025
W-2 Managing EmployeeAd;Executive Director Oct 27, 2025
John J Gochnour Individual Corporate OfficerPresident/LLC Manager Oct 1, 2025
Emily Coggin Individual W-2 Managing EmployeeAd; Oct 1, 2025
Amber Tueller Individual Corporate OfficerSecretary Oct 1, 2025
Elliot McMillan Individual Corporate OfficerVice President Oct 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.

Facilities with the same owner 141

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

View all 141

Practitioners & affiliated clinicians

Affiliated clinicians 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782432000000",
    "number": "1487068128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4395 OCOEE ST N",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124832",
            "telephone_number": "423-478-8023",
            "fax_number": "423-478-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4395 OCOEE ST N",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124832",
            "telephone_number": "423-478-8023",
            "fax_number": "423-478-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LHCG LXII, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-19",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A",
        "authorized_official_last_name": "TUELLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "208-207-2726"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tennessee Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tennessee Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.