NPIMap

Organization Active NPI

LHCG C, LLC

  • Community Based Hospice Care Agency
  • Columbus, MS
National Provider Identifier
1508393646
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
LHCG C, LLC
Practice address
2309 Bluecutt Rd Ste B
Columbus, MS 39705-1305
Phone
(662) 243-1173
Fax
(662) 243-2094
NPI assigned
May 19, 2017
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Joshua L. Proffitt
Title
President
Phone
(337) 233-1307

Owners & managing parties with NPI records 1

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

Change of ownership 1

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

Facilities with the same owner 46

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

View all 46

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 3

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Baptist Hospice-Golden TriangleCCN 251504
Ownership
For-Profit
Certified
Sep 15, 1987
Medicare certification status
ActiveFrom the Provider of Services file

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
25D2131638LHCG C, LLC Dba Baptist Hospice - Golden Triangle2309 Bluecutt Road, Suite B, Columbus, MS 39705Certificate of waiverJun 1, 2027

Medicare participation

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

Hospice certification: CCN 251504

Medicare enrollment files
Legal name
LHCG C, LLC
Doing business as
BAPTIST HOSPICE - GOLDEN TRIANGLE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 15, 1987
Last certification
Jun 23, 2021
Ownership / control type
Proprietary - Other
Organization structure
LLCProprietary
Incorporated
Jan 19, 2017 in MS
Enrollment address
2309 Bluecutt Rd
Ste B
Columbus, MS 39705-1305

All disclosed owners & managing parties 11

Medicare enrollment files

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

NameRoleSinceShare
Unitedhealth Group Incorporated Organization, Minnetonka, MN Corporation 5% Or Greater Indirect Ownership Interest Feb 22, 2023 67%
Baptist Memorial Home Care Inc Organization, Memphis, TN Corporation 5% Or Greater Indirect Ownership Interest Jun 1, 2017 33%
Marcus Donavon Macip Individual Corporate OfficerSecretary Feb 22, 2023
Kimberly Seymour Individual Corporate OfficerTreasurer Feb 22, 2023
Amy W Burdine Individual W-2 Managing EmployeeAdministrator/Director of Nursing Nov 5, 2018
Operational/Managerial ControlAdministrator/Director of Nursing Nov 5, 2018
LHCG Lxxxviii LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Jun 1, 2017 100%
Tennessee Health Care Group LLC Organization, Lafayette, LA LLC 5% Or Greater Indirect Ownership Interest Jun 1, 2017 67%
Wendy S Daigle Individual Corporate DirectorDirector, Licensure & Regulatory Oct 1, 2022
Navid Dara Individual Contracted Managing EmployeeMedical Director Mar 1, 2024
LHC Group Inc Organization, Lafayette, LA Corporation, Chain home office 5% Or Greater Indirect Ownership Interest Jun 1, 2017 67%
Operational/Managerial Control Jun 1, 2017
Joshua Lee Proffitt Individual Corporate OfficerPresident Jun 1, 2017

Change-of-ownership history 1

Medicare enrollment files
DateEventCounterparty
Jun 1, 2017 Change of OwnershipThis provider was the buyer Baptist Hospice-Golden TriangleCCN 251504, MS, NPI 1821312364

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20170803000587 MS Part a Provider - Hospice 2163793555 Practice locations: Columbus, MS

National Provider Directory

National Provider Directory

Locations

2309 Bluecutt Rd
Ste B
Columbus, MS 39705
Phone (662) 243-1173

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

2309 Bluecutt Rd Ste B
Columbus, MS 39705-1305

Mailing address

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

Other names 1

NPPES NPI Registry
  • Baptist Hospice - Golden Triangle Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 4, 2024.

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1508393646",
    "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": "2309 BLUECUTT RD STE B",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051305",
            "telephone_number": "662-243-1173",
            "fax_number": "662-243-2094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LHCG C, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-19",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baptist Hospice - Golden Triangle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, MS

Sources for this page

Verify at the official NPI Registry.