LHCG CLXX, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

LHCG CLXX, LLC

Doing business as

Grace Hospice

Practice address

2508A E 71St St Ste 2508-a
Tulsa, OK 74136-5531

Phone

(918) 744-7223

Fax

(918) 744-5784

NPI assigned

Oct 14, 2020

Last updated

Jul 15, 2026By 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

• Grace Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891393609. Details of each certification follow.

• CCN 371595 Hospice · Active · Details

Hospice certification: CCN 371595

Legal name

LHCG CLXX, LLC

Doing business as

GRACE HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Apr 4, 2001

Last certification

Jan 12, 2021

Ownership / control type

Proprietary - Other

Organization structure

LLCProprietary

Incorporated

Aug 13, 2020 in OK

Enrollment address

6218 S Lewis Ave
Ste 1000
Tulsa, OK 74136-1202

Listed as

Grace HospiceCCN 371595 · All quality measures

Ownership

For-Profit

Certified

Apr 4, 2001

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 10

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

Owners & managing parties with NPI records 1

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

• Angela Marie McGuire, D.O.

  • General Practice Physician
  • Oklahoma City, OK
  • NPI 1053492256

  W-2 Managing Employee

  CMS ownership

Change-of-ownership history 1

Change of ownership 1

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

• Grace Hospice of Oklahoma LLC

  • Community Based Hospice Care Agency
  • Tulsa, OK
  • NPI 1255477030

  Acquired from, 2020-12-31

  CMS change of ownership

Practitioners 2

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.

• Andrewe Steven Hansen, MSN, APRN-CNP, FNP,

  • Family Nurse Practitioner
  • Tulsa, OK
  • NPI 1437795739
  NPD (past)
• Darla Norris, APRN

  • Family Nurse Practitioner
  • Tulsa, OK
  • NPI 1083295117
  NPD (past)

Affiliated clinicians 2

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

• Angela Marie McGuire, D.O.

  • General Practice Physician
  • Oklahoma City, OK
  • NPI 1053492256

  Hospice

  Care Compare affiliation
• William Justin Hayes, M.D.

  • Family Medicine Physician
  • Fort Smith, AR
  • NPI 1891735098

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1891393609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 HUGH WALLIS RD S",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705082511",
            "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": "2508A E 71ST ST STE 2508-A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741365531",
            "telephone_number": "918-744-7223",
            "fax_number": "918-744-5784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LHCG CLXX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-14",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "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": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wyatt Thomas Lewis
• Yvonne Lewis
• Keira Kaidence Ley
• Kaylee Michelle Leybas
• Arrmida Leyva Galaz
• Shominlun Lhungdim
• Changai Li
• Enoch Li
• Jiamei Li
• Mary H Li, M.D.

• Community Based Hospice Care Agency in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Community Based Hospice Care Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.