NPIMap

Organization Active NPI

Caretenders Visiting Services of Pinellas County, LLC

Doing business as Mederi Caretenders

  • Home Health Agency
  • Clearwater, FL
National Provider Identifier
1104081876
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 VISITING SERVICES OF PINELLAS COUNTY, LLC
Doing business as
Mederi Caretenders
Practice address
311 Park Place Blvd Ste 100
Clearwater, FL 33759-3923
Phone
(727) 584-1824
Fax
(727) 547-1072
NPI assigned
Jul 22, 2008
Last updated
Sep 16, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CARETENDERS VISITING SERVICES OF PINELLAS COUNTY, LLCAs reported in NPPES

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

311 Park Place Blvd Ste 100
Clearwater, FL 33759-3923

Mailing address

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

Other names 1

  • Mederi Caretenders Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080513000383 FL Part A Provider - Home Health Agency 9638257736 1 other NPI on this enrollment
Practice locations: Clearwater, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104081876. Details of each certification follow.

Home health agency certification: CCN 107539

Legal name
CARETENDERS VISITING SERVICES OF PINELLAS COUNTY, LLC
Doing business as
MEDERI CARETENDERS
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 8, 1996
Last certification
May 10, 2017
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
311 Park Place Blvd
Ste 100
Clearwater, FL 33759-3923

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Mederi CaretendersCCN 107539 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Aug 8, 1996
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
10D0914797Caretenders Visiting Services of Pinellas County311 Park Place Blvd Ste 100, Clearwater, FL 33759Certificate of waiverMay 9, 2028

National Provider Directory

National Provider Directory
Part of
Caretenders Visiting Services of Pinellas County LLC

Locations

29399 US Highway 19 N
Ste 350
Clearwater, FL 33761
Phone (727) 584-1824

50 S Belcher Rd
Ste 112
Clearwater, FL 33765
Phone (727) 584-1824

7615 Little Rd
New Port Richey, FL 34654
Phone (727) 796-2210

6445 102nd Ave N
Pinellas Park, FL 33782
Phone (727) 546-8080

7800 66th St N
Ste 301
Pinellas Park, FL 33781
Phone (727) 544-1600

35772 Pure Water Way
Ste 102
Zephyrhills, FL 33541
Phone (727) 546-9692

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 OfficerTreasurer Feb 22, 2023
Wendy S Daigle Individual Corporate Director Oct 1, 2022
LHC Group Inc Organization, Lafayette, LA Corporation, Chain home office 5% Or Greater Indirect Ownership Interest Apr 1, 2018 100%
Erin Tucker Individual W-2 Managing EmployeeDirector of Nursing/Alternate Admin Dec 9, 2024
Joshua Lee Proffitt Individual Corporate OfficerPresident Aug 1, 2012
Almost Family, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Apr 1, 2018 100%
National Health Industries, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Direct Ownership Interest Apr 1, 2018 100%
Carmen Harbuck Individual W-2 Managing EmployeeAd; Jun 30, 2025
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

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 2

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": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1104081876",
    "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": "311 PARK PLACE BLVD STE 100",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337593923",
            "telephone_number": "727-584-1824",
            "fax_number": "727-547-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARETENDERS VISITING SERVICES OF PINELLAS COUNTY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARETENDERS VISITING SERVICES OF PINELLAS COUNTY, LLC",
        "enumeration_date": "2008-07-22",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mederi Caretenders",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mederi Caretenders",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.