NPIMap

Organization Active NPI

Key West HHA, LLC

  • Home Health Agency
  • Key West, FL
National Provider Identifier
1053833368
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KEY WEST HHA, LLC
Practice address
1718 N Roosevelt Blvd
Key West, FL 33040-7299
Phone
(305) 735-4460
Fax
(305) 453-6186
NPI assigned
Jul 10, 2017
Last updated
Sep 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

1718 N Roosevelt Blvd
Key West, FL 33040-7299

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180228000321 FL Part A Provider - Home Health Agency 1355602764 Practice locations: Key West, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053833368. Details of each certification follow.

Home health agency certification: CCN 109772

Legal name
KEY WEST HHA, LLC
Doing business as
ISLAND HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 2, 2012
Last certification
Jul 12, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jun 27, 2017 in FL
Enrollment address
1718 N. Roosevelt Blvd
Key West, FL 33040-7299

Care Compare: Home health agency

Medicare Care Compare
Listed as
Island Home CareCCN 109772 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Apr 2, 2012
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
10D2142265Key West HHA, LLC Dba Island Home Care1718 N Roosevelt Blvd, Key West, FL 33040Certificate of waiverJan 7, 2028

National Provider Directory

National Provider Directory

Locations

1718 N Roosevelt Blvd
Key West, FL 33040
Phone (305) 735-4460

Ownership & related parties

All disclosed owners & managing parties 9

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%
Erin Graham Individual W-2 Managing EmployeeAd;Alternate Director of Nursing May 6, 2019
Sophia Thulin Individual W-2 Managing EmployeeDirector of Nursing/Alternate Admin May 6, 2019
Af-CH-HH, LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Jul 15, 2017 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%
Joshua Lee Proffitt Individual Corporate OfficerTreasurer Apr 30, 2018
Almost Family, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Jul 15, 2017 100%
National Health Industries, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Jul 15, 2017 100%

Facilities with the same owner 111

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

View all 111

Change-of-ownership history 1

DateEventCounterparty
Jul 15, 2017 Change of OwnershipThis provider was the buyer Island Home Care Agency, IncCCN 109772, FL, NPI 1184922668

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 43

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

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1053833368",
    "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": "337-443-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 N ROOSEVELT BLVD",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330407299",
            "telephone_number": "305-735-4460",
            "fax_number": "305-453-6186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY WEST HHA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-10",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Key West, FL

Sources for this page

Verify at the official NPI Registry.