NPIMap

Organization Active NPI

Amedisys Oregon, L.L.C.

  • Community Based Hospice Care Agency
  • Roseburg, OR
National Provider Identifier
1083807101
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
AMEDISYS OREGON, L.L.C.
Practice address
1813 W Harvard Ave Ste 220
Roseburg, OR 97471-2755
Phone
(541) 440-2583
Fax
(541) 440-2530
NPI assigned
Aug 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 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
(617) 639-4092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1813 W Harvard Ave Ste 220
Roseburg, OR 97471-2755

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
218450MedicaidOR

Other names 1

  • Amedisys Hospice Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070911000680 OR Part A Provider - Hospice 0446343107 Practice locations: Roseburg, OR

Hospice certification: CCN 381518

Legal name
AMEDISYS OREGON, L.L.C.
Doing business as
AMEDISYS HOSPICE CARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 28, 1991
Last certification
Jul 11, 2018
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Jun 22, 2007 in OR
Enrollment address
1813 W Harvard Ave
Ste 220
Roseburg, OR 97471-2755

Other NPIs with the same Medicare PAC ID 4

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Amedisys Hospice CareCCN 381518
Ownership
For-Profit
Certified
Feb 28, 1991
Medicare certification status
ActiveFrom the Provider of Services file

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
38D2329103Amedisys Oregon, LLC Dba Amedisys Hospice1813 West Harvard Ave, Suite 220, Roseburg, OR 97471Certificate of waiverAug 20, 2027

National Provider Directory

National Provider Directory
Tax ID family
Amedisys Oregon LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

1813 W Harvard Ave
Ste 220
Roseburg, OR 97471
Phone (541) 440-2583

Ownership & related parties

All disclosed owners & managing parties 12

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
Kimberly Seymour Individual Corporate OfficerCoo Apr 13, 2026
Bridget R Kaigler Individual Operational/Managerial ControlSr Director, Tax Apr 15, 2022
Sylvia Devine Individual W-2 Managing EmployeeAd; Jun 23, 2025
Amedisys Inc Organization, Baton Rouge, LA Corporation 5% Or Greater Indirect Ownership Interest Sep 1, 2007 100%
Joni Babineaux Individual Corporate OfficerCfo Apr 13, 2026
Edward J Ottenheimer Individual W-2 Managing EmployeeMD; Aug 5, 2024
Kristina J Braud Individual Operational/Managerial ControlRegulatory Manager Apr 15, 2022
Jeanne Louise Shingleton Individual Corporate OfficerSecretary Jan 1, 2026
Amedisys Holding LLC Organization, Baton Rouge, LA LLC 5% Or Greater Direct Ownership Interest Sep 1, 2007 100%
Joshua Lee Proffitt Individual Corporate OfficerPresident Jan 1, 2026

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1083807101",
    "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": "1813 W HARVARD AVE STE 220",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712755",
            "telephone_number": "541-440-2583",
            "fax_number": "541-440-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS OREGON, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "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": "617-639-4092"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218450",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Hospice Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Amedisys Hospice Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseburg, OR

Sources for this page

Verify at the official NPI Registry.