LHCG CCX, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

LHCG CCX, LLC

Doing business as

Brevard Palliative Care

Practice address

8060 Spyglass Hill Road
Viera, FL 32940-8119

Phone

(321) 806-1874

Fax

(321) 806-1875

NPI assigned

Sep 22, 2021

Last updated

Jul 3, 2024By 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 2

Addresses

Other names 1

• Brevard Palliative Care Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Lyn Ayrey, APRN-C

  • Nurse Practitioner
  • Rockledge, FL
  • NPI 1821521261
  Medicare reassignment Care Compare group NPD
• Amanda Justine Fiji, AGNP-BC

  • Primary Care Nurse Practitioner
  • Daytona Beach, FL
  • NPI 1972098317

  Hospice and Palliative Medicine

  Medicare reassignment Care Compare group NPD
• Nabil Aziz, M.D.

  • Internal Medicine Physician
  • Rockledge, FL
  • NPI 1780675405
  Medicare reassignment NPD

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1831860642",
    "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": "8060 SPYGLASS HILL ROAD",
            "city": "VIERA",
            "state": "FL",
            "postal_code": "329408119",
            "telephone_number": "321-806-1874",
            "fax_number": "321-806-1875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "661 Eyster Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Rockledge",
            "state": "FL",
            "postal_code": "329558119",
            "country_code": "US",
            "telephone_number": "321-806-1874",
            "fax_number": "321-806-1875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LHCG CCX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-22",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brevard Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brevard Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rosemary De Angelis Laird, MD
• Amanda Lauritsen
• Aryanna F. Lee, M.D.
• Ashley Lehman
• Amanda Lett
• Lifetime Eyecare Center LLC
• Ashley Elizabeth Little, PHARM.D.
• Angela Valentina Litvak, DMD
• Live Long Well Care, LLC (Live Long Well Care of Brevard County)
• Reginald Logan, LMHC

• Nurse Practitioner in Viera, FL
• Providers in Viera, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.