Organization Active NPI

LHCG Cxii, LLC

Doing business as CHRISTUS Homecare

  • Home Health Agency
  • Tyler, TX
National Provider Identifier
1669994471
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LHCG CXII, LLC
Doing business as
CHRISTUS Homecare
Practice address
821 E Southeast Loop 323 Ste 360
Tyler, TX 75701-9667
Phone
(903) 534-6267
Fax
(903) 534-6296
NPI assigned
Jul 13, 2017
Last updated
Jan 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X

Addresses

Primary practice location

821 E Southeast Loop 323 Ste 360
Tyler, TX 75701-9667

Mailing address

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

Other names 1

  • CHRISTUS Homecare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171030000895 TX Part A Provider - Home Health Agency 4486920899 Practice locations: Tyler, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669994471. Details of each certification follow.

Home health agency certification: CCN 743197

Legal name
LHCG CXII, LLC
Doing business as
CHRISTUS HOMECARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 29, 2008
Last certification
Jun 8, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
821 E Southeast Loop 323
Ste 360
Tyler, TX 75701-9667

Care Compare: Home health agency

Medicare Care Compare
Listed as
Christus HomecareCCN 743197 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Sep 29, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, 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
45D1068345LHCG Cxii, LLC821 E Southeast Loop 323, Suite 360, Tyler, TX 75701Certificate of waiverMay 8, 2027

National Provider Directory

National Provider Directory

Locations

821 Ese 323 Loop
Ste 560
Tyler, TX 75701
Phone (903) 534-6267

Ownership & related parties

All disclosed owners & managing parties 12

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%
Marcus Donavon Macip Individual Corporate OfficerSecretary Mar 1, 2023
Kimberly Seymour Individual Corporate OfficerCoo Apr 13, 2026
W-2 Managing EmployeeCoo Apr 13, 2026
Joni Babineaux Individual Corporate OfficerCfo Apr 13, 2026
Trisha Woolard Individual W-2 Managing EmployeeAdministrator/Dir of Nursing May 21, 2018
Operational/Managerial ControlAdministrator/Dir of Nursing May 21, 2018
Wendy S Daigle Individual Corporate DirectorDirector of Licensure & Reg Affairs Oct 1, 2022
LHC Group Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Sep 1, 2017 67%
Operational/Managerial Control Sep 1, 2017
Southwest Post-Acute Care Partnership LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Sep 1, 2017 100%
Joshua Lee Proffitt Individual Corporate OfficerPresident Sep 1, 2017
LHCG Partner II LLC Organization, Lafayette, LA LLC 5% Or Greater Indirect Ownership Interest Sep 1, 2017 67%
Amy Cormier Individual Corporate DirectorDirector of Managed Care May 1, 2025
Christus Continuing Care Organization, Irving, TX Corporation 5% Or Greater Indirect Ownership Interest Sep 1, 2017 33%

Facilities with the same owner 17

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

View all 17

Change-of-ownership history 1

DateEventCounterparty
Sep 1, 2017 Change of OwnershipThis provider was the buyer Christus HomecareCCN 743197, TX, NPI 1316076888

Change of ownership 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 86

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

View all 86

NPI Registry JSON

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1669994471",
    "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": "821 E SOUTHEAST LOOP 323 STE 360",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757019667",
            "telephone_number": "903-534-6267",
            "fax_number": "903-534-6296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LHCG CXII, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-13",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "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": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHRISTUS Homecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHRISTUS Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.