NPIMap

Organization Active NPI

Caretenders VS of Western Ky, LLC

Doing business as Caldwell County Hospital Home Health Agency

  • Home Health Agency
  • Princeton, KY
National Provider Identifier
1033536644
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CARETENDERS VS OF WESTERN KY, LLC
Doing business as
Caldwell County Hospital Home Health Agency
Practice address
1310 US Highway 62 W
Princeton, KY 42445-6106
Phone
(270) 365-2011
Fax
(270) 365-9433
NPI assigned
Mar 20, 2014
Last updated
Sep 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

1310 US Highway 62 W
Princeton, KY 42445-6106

Mailing address

9510 Ormsby Station Rd
Suite 300
Louisville, KY 40223-4081
Phone (502) 891-1000

Other names 1

  • Caldwell County Hospital Home Health Agency Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140611002189 KY Part A Provider - Home Health Agency 6608948807 Practice locations: Princeton, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033536644. Details of each certification follow.

Home health agency certification: CCN 187102

Legal name
CARETENDERS VS OF WESTERN KY, LLC
Doing business as
CALDWELL COUNTY HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 30, 1984
Last certification
Feb 14, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Oct 10, 2007 in KY
Enrollment address
1310 US Highway 62 W
Princeton, KY 42445-6106

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Caldwell County Home HealthCCN 187102 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Oct 30, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, 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
18D2076706Caretenders VS of Western Ky, LLC D/B/a1310 US Highway 62 West, Princeton, KY 42445Certificate of waiverApr 23, 2028

National Provider Directory

National Provider Directory
Tax ID family
Caldwell County Hospital Home Health Agency2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

112 E McMurtry Ave
Ste 2
Hartford, KY 42347
Phone (270) 298-0066

113 N Main St
Henderson, KY 42420
Phone (270) 827-3005

1630 2nd St
Henderson, KY 42420
Phone (270) 827-3005

352 E Center St
Madisonville, KY 42431
Phone (270) 326-5222

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, MN Corporation 5% Or Greater Indirect Ownership Interest Feb 22, 2023 100%
Marcus Donavon Macip Individual Corporate OfficerSecretary Feb 22, 2023
Kimberly Seymour Individual Corporate OfficerCoo Apr 13, 2026
W-2 Managing Employee Apr 13, 2026
Joni Babineaux Individual Corporate OfficerCfo Apr 13, 2026
Kayce Stevenson Individual W-2 Managing EmployeeAd; Mar 17, 2026
Wendy S Daigle Individual OtherDirector, 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 OfficerExecutive VP, Cfo Aug 1, 2012
Almost Family, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Apr 15, 2014 100%
National Health Industries, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Direct Ownership Interest Apr 15, 2014 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

Practitioners & affiliated clinicians

Affiliated clinicians 7

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": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1033536644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 ORMSBY STATION RD",
            "address_2": "SUITE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234081",
            "telephone_number": "502-891-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 US HIGHWAY 62 W",
            "city": "PRINCETON",
            "state": "KY",
            "postal_code": "424456106",
            "telephone_number": "270-365-2011",
            "fax_number": "270-365-9433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARETENDERS VS OF WESTERN KY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "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": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caldwell County Hospital Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Princeton, KY

Sources for this page

Verify at the official NPI Registry.