LHCG Cxcvii, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

LHCG CXCVII, LLC

Doing business as

OMNI Hospice

Practice address

3101 N Green River Rd Ste 210
Evansville, IN 47715-1371

Phone

(812) 468-0000

Fax

(812) 468-0072

NPI assigned

Jun 3, 2021

Last updated

Dec 21, 2023By 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

Joshua L Proffitt

Title

President

Phone

(337) 233-1307

Specialties & licenses 1

Addresses

Other names 1

• OMNI Hospice Doing business as

Locations

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1659947224",
    "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": "3101 N GREEN RIVER RD STE 210",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477151371",
            "telephone_number": "812-468-0000",
            "fax_number": "812-468-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LHCG CXCVII, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-03",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OMNI Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OMNI Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cynthia D Lewis, FNP
• Janice Rochelle Lewis, MSW
• Merral B Lewis, M.D.
• Neveah Lewis
• Valarie Lewis, MSW, LSW
• Alex Situ Liang
• Kimberly Michelle Libertino
• Life Without Limits Physical Therapy
• Thomas F Liffick, MD
• Donna K Lilly, LCSW

• Community Based Hospice Care Agency in Evansville, IN
• Providers in Evansville, IN by specialty
• Community Based Hospice Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.