NPIMap

Organization Active NPI

Jourdanton Home Care Services, LLC

Doing business as Elite Home Health

  • Home Health Agency
  • Jourdanton, TX
National Provider Identifier
1003899485
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
012459 Issued in TX
Legal business name
JOURDANTON HOME CARE SERVICES, LLC
Doing business as
Elite Home Health
Practice address
1907 E State Highway 97 Ste 230
Jourdanton, TX 78026-1534
Phone
(830) 281-8136
Fax
(830) 281-8751
NPI assigned
Nov 21, 2005
Last updated
Oct 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 012459 TX Primary

Addresses

Primary practice location

1907 E State Highway 97 Ste 230
Jourdanton, TX 78026-1534

Mailing address

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

Other names 1

  • Elite Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101108000594 TX Part A Provider - Home Health Agency 4385839067 Practice locations: Jourdanton, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003899485. Details of each certification follow.

Home health agency certification: CCN 677127

Legal name
JOURDANTON HOME CARE SERVICES, LLC
Doing business as
ELITE HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 9, 1987
Last certification
Sep 16, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Aug 19, 2008 in DE
Enrollment address
1907 Hwy 97 East
Suite 230
Jourdanton, TX 78026-1538
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Elite Home HealthCCN 677127 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Dec 9, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, 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
45D0499002Jourdanton Home Care Services LLC1907 E State Highway 97 Suite 230, Jourdanton, TX 78026Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

1907 E State Highway 97
Ste 230
Jourdanton, TX 78026
Phone (210) 923-7342

121 S Smith St
Pleasanton, TX 78064
Phone (830) 281-8136

1416 W Oaklawn Rd
Ste A
Pleasanton, TX 78064
Phone (830) 281-8136

1907 E Highway 97
Ste 230
Pleasanton, TX 78064

Networks

  • devoted network organization-29f43891-2cde-4604-ab6a-baa4d2061a18Plans: DEVOTED CHOICE MA ONLY 006 TX (PPO) (H6813-006-000, H6813); DEVOTED CHOICE GIVEBACK 001 TX (PPO) (H6813-001-000, H6813)

Ownership & related parties

All disclosed owners & managing parties 11

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, ME Corporation 5% Or Greater Indirect Ownership Interest Feb 22, 2023 100%
Kimberly Barecky Individual W-2 Managing EmployeeAd; Apr 22, 2024
Marcus Donavon Macip Individual Corporate OfficerCorporate Secretary Feb 22, 2023
Kimberly Seymour Individual Corporate OfficerTreasurer Feb 22, 2023
Afam Holding Co LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Mar 1, 2019 100%
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 Apr 1, 2018 100%
Operational/Managerial Control Mar 1, 2019
Joshua Lee Proffitt Individual Corporate OfficerPresident Dec 31, 2019
Almost Family, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Mar 1, 2019 100%
National Health Industries, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Mar 1, 2019 80%
Afam Sub I LLC Organization, Lafayette, LA LLC 5% Or Greater Indirect Ownership Interest Mar 1, 2019 20%

Facilities with the same owner 111

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

View all 111

Practitioners & affiliated clinicians

Affiliated clinicians 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1003899485",
    "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": "1907 E STATE HIGHWAY 97 STE 230",
            "city": "JOURDANTON",
            "state": "TX",
            "postal_code": "780261534",
            "telephone_number": "830-281-8136",
            "fax_number": "830-281-8751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURDANTON HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-21",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "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": "TX",
            "license": "012459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jourdanton, TX

Sources for this page

Verify at the official NPI Registry.