NPIMap

Organization Active NPI

Hattiesburg Home Care Services LLC

  • Home Health Agency
  • Hattiesburg, MS
National Provider Identifier
1023077310
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
11386 Issued in MS
Legal business name
HATTIESBURG HOME CARE SERVICES LLC
Practice address
22 Millbranch Rd Ste 1200
Hattiesburg, MS 39402-1594
Phone
(601) 620-0971
Fax
(662) 580-4850
NPI assigned
Mar 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Authorized official

Name
Joshua L Proffitt
Title
Treasurer
Phone
(337) 233-1307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 11386 MS Primary

Addresses

Primary practice location

22 Millbranch Rd Ste 1200
Hattiesburg, MS 39402-1594

Mailing address

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

Other practice location 1

2548B Beach Blvd
Biloxi, MS 39531-4721
Phone (228) 388-7727

Other identifiers 1

IdentifierTypeStateIssuer
00770229MedicaidMS

Other names 2

  • HomeChoice Health Services - Hattiesburg Doing business as
  • Wesley Home Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090617000200 MS Part A Provider - Home Health Agency 9931259710 Practice locations: Hattiesburg, MS

Home health agency certification: CCN 257123

Legal name
HATTIESBURG HOME CARE SERVICES LLC
Doing business as
MISSISSIPPI HOMECARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 1, 1978
Last certification
Jun 8, 2009
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Sep 29, 2008 in DE
Enrollment address
22 Millbranch Rd
Ste 1200
Hattiesburg, MS 39402-1594

Care Compare: Home health agency

Medicare Care Compare
Listed as
Mississippi HomecareCCN 257123
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Oct 1, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, 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
25D0319921Hattiesburg Home Care Services LLC Dba22 Millbranch Road Ste 1200, Hattiesburg, MS 39402Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

2548B Beach Blvd
Biloxi, MS 39531
Phone (228) 388-7727

22 Millbranch Rd
Hattiesburg, MS 39402
Phone (601) 520-6579

22 Millbranch Rd
Ste 1200
Hattiesburg, MS 39402
Phone (601) 255-5264

Networks

  • devoted network organization-5b6e8479-727f-40cf-ba4e-9b59e43aa45e

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, Hopkins, MN Corporation 5% Or Greater Indirect Ownership Interest Feb 22, 2023 100%
Marsha Smith Individual W-2 Managing EmployeeAd;Director of Nursing Jan 8, 2020
Kimberly Seymour Individual Corporate OfficerCoo Apr 13, 2026
W-2 Managing EmployeeCoo Apr 13, 2026
Joni Babineaux Individual Corporate OfficerCfo Apr 13, 2026
Af-CH-HH, LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Dec 31, 2016 100%
Wendy S Daigle Individual Corporate DirectorDirector, Licensure & Regulatory Oct 1, 2022
LHC Group Inc Organization, Lafayette, LA Corporation, Chain home office 5% Or Greater Indirect Ownership Interest Apr 1, 2018 100%
Operational/Managerial Control Apr 1, 2018
Joshua Lee Proffitt Individual Corporate OfficerPresident Apr 30, 2018
Almost Family, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Dec 31, 2016 100%
National Health Industries, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Dec 31, 2016 100%
Amy Cormier Individual Corporate DirectorDirector of Managed Care May 1, 2025

Facilities with the same owner 111

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

View all 111

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1023077310",
    "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": "22 MILLBRANCH RD STE 1200",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021594",
            "telephone_number": "601-620-0971",
            "fax_number": "662-580-4850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2548B Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "Biloxi",
            "state": "MS",
            "postal_code": "395314721",
            "country_code": "US",
            "telephone_number": "228-388-7727",
            "fax_number": "228-388-7798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HATTIESBURG HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "337-233-1307"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MS",
            "license": "11386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00770229",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HomeChoice Health Services - Hattiesburg",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wesley Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wesley Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.