LHCG XCIII, LLC (NPI# 1235664921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235664921 |
| Entity Type | Organization |
| Organization Name | LHCG XCIII, LLC |
| Other Organization Name | BAPTIST TRINITY HOME CARE & HOSPICE |
| Practice Address |
8000 Centerview Pkwy Ste 403 Cordova TN 38018-4227 |
| Mailing Address |
Po Box 51266 Lafayette LA 70505-1266 |
| Practice Telephone | 9017676767 |
| Practice Fax Number | 9014153410 |
| Mailing Telephone | 3372331307 |
| Mailing Fax Number | 3372335764 |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2020-11-05 |
| Authorized Official Name | MR. NICHOLAS GACHASSIN III (SECRETARY / TREASURER) |
| Authorized Official Telephone | 3372331307 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Baptist Trinity Home Care & Hospice | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6141 Walnut Grove Rd Ste 2b, Memphis, TN 381202179 | 9017676767 | 9014153412 |
| Street Address |
8000 CENTERVIEW PKWY STE 403 |
| City | CORDOVA |
| State | TN |
| Zip Code | 38018-4227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264428 | Shaquia Janai Harris | Behavior Technician | 1079 N Houston Levee Road, Cordova, TN 38018 | 2020-10-29 |
| 1366041493 | Cynthia Brantley | Behavior Technician | 1079 N Houston Levee Rd, Cordova, TN 38018 | 2020-10-20 |
| 1558901736 | At Home Physical Rehabilitation Group, LLC | Physical Therapy Assistant | 856 Willow Tree Circle, Cordova, TN 38018 | 2020-01-15 |
| 1538703038 | Scott Eric Balogh | Psychiatry & Neurology | 65 Germantown Court, Suite 203, Cordova, TN 38018 | 2019-10-29 |
| 1851871305 | Joanna H Fussell | Behavioral Analyst | 8066 Walnut Run Suite 102, Cordova, TN 38018 | 2018-08-15 |
| 1841736097 | A Guardian Care Group | Home Health | 10164 Green Moss, Cordova, TN 38018 | 2017-01-12 |
| 1497127146 | Functional Independence, Inc. | Home Health | 270 German Oak Dr., Memphis, TN 38018 | 2015-10-21 |
| 1679984363 | Tiffany Masters Redfern | Obstetrics & Gynecology | 521 Riveredge Dr W, Cordova, TN 38018 | 2014-05-15 |
| 1295073427 | Mitchell Wyman Alvarez | Optometrist | 2075 N. Germantown Pkwy, Memphis, TN 38018 | 2013-01-23 |
| 1578827531 | Chiung Feng Hsu | Dentist | 831 Timber Creek Dr #1, Cordova, TN 38018 | 2012-06-25 |
| Find all providers in zip 38018 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043779010 | Donchita V Stennis | Home Health | 10131 Cameron Ridge Trl, Cordova, TN 38016-7184 | 2019-03-18 |
| 1609347137 | Willie D Richardson Sr. | Home Health | 8316 Macon Ter Ste 102, Cordova, TN 38018-8505 | 2018-12-10 |
| 1619463197 | Roman Williams | Home Health | 8765 Gum Tree Cv, Cordova, TN 38018-7659 | 2018-07-08 |
| 1720502479 | Sc Home Health Care | Home Health | 2149 Purple Leaf Ln, Cordova, TN 38016-5365 | 2017-08-02 |
| 1841736097 | A Guardian Care Group | Home Health | 10164 Green Moss, Cordova, TN 38018 | 2017-01-12 |
| 1891245890 | Extended Quality of Life, LLC | Home Health | 2677 Wigan Cv, Cordova, TN 38016-0115 | 2016-10-13 |
| 1023477171 | Quality Health | Home Health | 2860 Morning Lake Dr Apt 201, Cordova, TN 38016-2408 | 2016-02-17 |
| 1407214778 | Tanya Ragland | Home Health | 8950 Gateshead Ln, Cordova, TN 38018-4871 | 2016-02-02 |
| 1700241767 | We Care Home Health Care of Tennessee Inc | Home Health | 1904 Talisker Dr, Cordova, TN 38016-0155 | 2015-12-17 |
| 1336511161 | Rebuild Rehabilitation | Home Health | 10143 Brussels Ln, Cordova, TN 38016-0572 | 2015-10-20 |
| Find all providers in CORDOVA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.