NPIMap

Organization Active NPI

Tender Loving Care Health Care Services Western, LLC

  • Home Health Agency
  • Phoenix, AZ
National Provider Identifier
1013961267
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA3720 Issued in AZ
Legal business name
TENDER LOVING CARE HEALTH CARE SERVICES WESTERN, LLC
Practice address
645 E Missouri Ave Ste 265
Phoenix, AZ 85012-0005
Phone
(602) 200-0835
Fax
(602) 200-8465
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA3720 AZ Primary

Addresses

Primary practice location

645 E Missouri Ave Ste 265
Phoenix, AZ 85012-0005

Mailing address

3854 American Way Ste a
Baton Rouge, LA 70816-4897
Phone (225) 292-2031

Other identifiers 5

IdentifierTypeStateIssuer
037106OtherAZGROUP HEALTH COOPERATIVE
958879OtherAZARIZONA PHYSICIAN IPA
037106OtherAZHUMANA PPS
958879MedicaidAZ
037106OtherAZSECURE HORIZONS DIRECT PP

Other names 1

  • Amedisys Home Health Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041012001559 AZ Part A Provider - Home Health Agency 2365414885 Practice locations: Phoenix, AZ

Home health agency certification: CCN 037106

Legal name
TENDER LOVING CARE HEALTH CARE SERVICES WESTERN, LLC
Doing business as
AMEDISYS HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 30, 1988
Last certification
Feb 12, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
645 E Missouri Ave
Ste 265
Phoenix, AZ 85012-0005

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Amedisys Home Health CareCCN 037106
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Nov 30, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, 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
03D0726752Tender Loving Care Health Care Services Western645 E Missouri Ave Ste 265, Phoenix, AZ 85012Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Tender Loving Care Health Care Services Western LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

645 E Missouri Ave
Phoenix, AZ 85012
Phone (602) 262-8917

Ownership & related parties

All disclosed owners & managing parties 17

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, For-profit 5% Or Greater Indirect Ownership Interest Aug 14, 2025 100%
Marcus Donavon Macip Individual Corporate OfficerVice President Jan 1, 2026
Nicole Roberts Individual W-2 Managing EmployeeAdministrator Jan 22, 2022 100%
Operational/Managerial ControlAdministrator Jan 22, 2022 100%
Kimberly Seymour Individual Corporate OfficerCfo Jan 1, 2026
Bridget R Kaigler Individual Operational/Managerial ControlSr Director, Tax Apr 15, 2022
TLC Health Care Services LLC Organization, Baton Rouge, LA LLC 5% Or Greater Direct Ownership Interest Mar 26, 2008 100%
Amedisys Inc Organization, Baton Rouge, LA Corporation 5% Or Greater Indirect Ownership Interest Mar 26, 2008 100%
Joni Babineaux Individual Corporate OfficerCfo Apr 13, 2026
Chasity Walter Individual W-2 Managing Employee Jan 21, 2023
Operational/Managerial ControlAdministrator Jan 23, 2023 100%
Kristina J Braud Individual Operational/Managerial ControlRegulatory Manager Apr 15, 2022
Amedisys TLC Acquisitions LLC Organization, Baton Rouge, LA LLC 5% Or Greater Indirect Ownership Interest Mar 26, 2008 100%
Jeanne Louise Shingleton Individual Corporate OfficerSecretary Jan 1, 2026
Amedisys Holding LLC Organization, Baton Rouge, LA LLC, For-profit 5% Or Greater Indirect Ownership Interest Mar 26, 2008 100%
Joshua Lee Proffitt Individual Corporate OfficerPresident & Ceo Jan 1, 2026
TLC Holdings LLC Organization, Baton Rouge, LA LLC 5% Or Greater Indirect Ownership Interest Mar 26, 2008 100%
Christopher Gerard Individual OtherChain Home Office Administrator Apr 16, 2022
April D Adams Individual W-2 Managing EmployeeAd; Mar 20, 2023

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Amedisys Home Health CareTucson, AZ, CCN 037248 Home health agency 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 21

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

View all 21

Practitioners & affiliated clinicians

Affiliated clinicians 63

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

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1013961267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3854 AMERICAN WAY STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164897",
            "telephone_number": "225-292-2031",
            "fax_number": "225-295-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 E MISSOURI AVE STE 265",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850120005",
            "telephone_number": "602-200-0835",
            "fax_number": "602-200-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER LOVING CARE HEALTH CARE SERVICES WESTERN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "337-233-1307"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "HHA3720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH COOPERATIVE",
            "identifier": "037106",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA PHYSICIAN IPA",
            "identifier": "958879",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA PPS",
            "identifier": "037106",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "958879",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURE HORIZONS DIRECT PP",
            "identifier": "037106",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.