NPIMap

Organization Active NPI

Lakeland Home Care Services, LLC

  • Home Health Agency
  • Winter Haven, FL
National Provider Identifier
1104130491
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LAKELAND HOME CARE SERVICES, LLC
Practice address
199 Avenue B NW Ste 305
Winter Haven, FL 33881-4546
Phone
(863) 949-6289
Fax
(863) 676-1672
NPI assigned
Jul 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

199 Avenue B NW Ste 305
Winter Haven, FL 33881-4546

Mailing address

901 Hugh Wallis Rd S
Lafayette, LA 70508-2511
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
O20110502000580 FL Part A Provider - Home Health Agency 1456536754 Practice locations: Winter Haven, FL

Home health agency certification: CCN 107781

Legal name
LAKELAND HOME CARE SERVICES LLC
Doing business as
MEDERI CARETENDERS
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 25, 2003
Last certification
Mar 17, 2017
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jul 20, 2010 in DE
Enrollment address
199 Avenue B NW
Ste 305
Winter Haven, FL 33881-4546

Care Compare: Home health agency

Medicare Care Compare
Listed as
Mederi CaretendersCCN 107781
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jun 25, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical 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
10D2016303Lakeland Home Care Services LLC199 Avenue B NW Ste 305, Winter Haven, FL 33881Certificate of waiverNov 15, 2026

National Provider Directory

National Provider Directory

Locations

1255 State Road 60 E
Lake Wales, FL 33853
Phone (863) 232-5111

141 E Central Ave
Ste 350
Winter Haven, FL 33880
Phone (863) 949-6289

199 Avenue B NW
Ste 305
Winter Haven, FL 33881

Ownership & related parties

All disclosed owners & managing parties 13

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
Christine Bates Individual W-2 Managing EmployeeDirector of Nursing/Alternate Admin Jun 16, 2025
Kimberly Seymour Individual Corporate OfficerTreasurer Feb 22, 2023
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 Nov 1, 2020 100%
Afam Holding Co II, LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Nov 1, 2020 100%
Joshua Lee Proffitt Individual Corporate OfficerPresident Apr 1, 2018
Almost Family, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Nov 1, 2020 100%
Zoe Gelbaugh Individual W-2 Managing EmployeeAd;Alternate Director of Nursing Jun 16, 2025
National Health Industries, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Apr 1, 2018 80%
Afam Sub I LLC Organization, Lafayette, LA LLC 5% Or Greater Indirect Ownership Interest Nov 1, 2020 20%
Amy Cormier Individual Corporate DirectorDirector, Managed Care Network 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": "1280361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1104130491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 HUGH WALLIS RD S",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705082511",
            "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": "199 AVENUE B NW STE 305",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814546",
            "telephone_number": "863-949-6289",
            "fax_number": "863-676-1672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-29",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "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"
        }
    ]
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.