NPIMap

Organization Active NPI

Home Health Care by Black Stone of Northwest Ohio, LLC

Doing business as Caretenders

  • Home Health Registered Nurse
  • Holland, OH
National Provider Identifier
1093743650
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Legal business name
HOME HEALTH CARE BY BLACK STONE OF NORTHWEST OHIO, LLC
Doing business as
Caretenders
Practice address
7015 Spring Meadows West Dr Ste 102
Holland, OH 43528-9299
Phone
(567) 703-5399
Fax
(567) 703-5480
NPI assigned
Jun 30, 2006
Last updated
Mar 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X Primary

Addresses

Primary practice location

7015 Spring Meadows West Dr Ste 102
Holland, OH 43528-9299

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
0159528MedicaidOH

Other names 1

  • Caretenders Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060214000219 OH Part A Provider - Home Health Agency 4385659242 Practice locations: Holland, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093743650. Details of each certification follow.

Home health agency certification: CCN 367582

Legal name
HOME HEALTH CARE BY BLACK STONE OF NORTHWEST OHIO LLC
Doing business as
CARETENDERS
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 7, 1994
Last certification
Jul 18, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Mar 4, 2015 in OH
Enrollment address
7015 Spring Meadows West Dr
Ste 102
Holland, OH 43528-9299

Care Compare: Home health agency

Medicare Care Compare
Listed as
CaretendersCCN 367582 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jun 7, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical therapy, 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
36D0918065Home Health Care by Black Stone of7015 Spring Meadows West Drive, Holland, OH 43528Certificate of waiverJul 30, 2026

National Provider Directory

National Provider Directory
Tax ID family
Caretenders2 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

1039 Oak Harbor Rd
Fremont, OH 43420
Phone (419) 861-3333

1221 Oak Harbor Rd
Fremont, OH 43420
Phone (419) 333-3000

3600 Briarfield Blvd
Ste 101
Maumee, OH 43537
Phone (419) 861-3333

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Cara Blanton Individual W-2 Managing EmployeeAd; Jul 1, 2025
Unitedhealth Group Incorporated Organization, Minnetonka, MN Corporation 5% Or Greater Indirect Ownership Interest Feb 22, 2023 100%
Marcus Donavon Macip Individual Corporate OfficerCorporate Secretary Feb 22, 2023
Black Stone of Northwest Ohio LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Mar 5, 2014 100%
Kimberly Seymour Individual Corporate OfficerCfo/Treasurer Feb 22, 2023
Black Stone Operations LLC Organization, Lafayette, LA LLC 5% Or Greater Indirect Ownership Interest Mar 5, 2014 100%
LHC Group Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Apr 1, 2018 100%
Joshua Lee Proffitt Individual Corporate OfficerPresident Aug 1, 2012
Almost Family, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Nov 5, 2015 100%
National Health Industries, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Nov 5, 2015 100%

Facilities with the same owner 111

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

View all 111

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1093743650",
    "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": "7015 SPRING MEADOWS WEST DR STE 102",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435289299",
            "telephone_number": "567-703-5399",
            "fax_number": "567-703-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH CARE BY BLACK STONE OF NORTHWEST OHIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "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": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0159528",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caretenders",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holland, OH

Sources for this page

Verify at the official NPI Registry.