NPIMap

Organization Active NPI

Augusta Home Care Services, LLC

  • Community Based Hospice Care Agency
  • Augusta, GA
National Provider Identifier
1114396173
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
AUGUSTA HOME CARE SERVICES, LLC
Practice address
1212 Augusta West Pkwy Ste 2B
Augusta, GA 30909-1808
Phone
(706) 729-6000
Fax
(706) 729-6094
NPI assigned
Sep 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 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
Community Based Hospice Care Agency 251G00000X GA Primary

Addresses

Primary practice location

1212 Augusta West Pkwy Ste 2B
Augusta, GA 30909-1808

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
003179705AMedicaidGA

Other names 1

  • Trinity Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151222001715 GA Part A Provider - Hospice 3476853888 Practice locations: Martinez, GA

Hospice certification: CCN 111515

Legal name
AUGUSTA HOME CARE SERVICES LLC
Doing business as
TRINITY HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 15, 1987
Last certification
Jul 14, 2021
Ownership / control type
Proprietary - Individual
Organization structure
LLCProprietary
Incorporated
Oct 28, 2008 in DE
Enrollment address
4106 Columbia Rd
Ste 201
Martinez, GA 30907-1483

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Trinity HospiceCCN 111515
Ownership
For-Profit
Certified
Jul 15, 1987
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Augusta Home Care Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1212 Augusta West Pkwy
Ste 2B
Augusta, GA 30909
Phone (706) 729-6000

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
University Health Services,Inc Organization, Augusta, GA Corporation, Chain home office, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 31, 2025 75%
Jon Christopher Gibbs Individual Contracted Managing EmployeeMD; Dec 31, 2025
Robert C Cross Individual Corporate DirectorVP Government Reimbursement Dec 31, 2025
W-2 Managing EmployeeVP Government Reimbursement Dec 31, 2025
Joshua Lee Proffitt Individual Corporate OfficerPresident Oct 1, 2020
University Health Resources Inc Organization, Augusta, GA For-profit 5% Or Greater Direct Ownership Interest Dec 31, 2025 25%
Vinda McMaster Individual Contracted Managing EmployeeAd; Dec 31, 2025

Owners & managing parties with NPI records 2

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

Facilities with the same owner 5

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

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1114396173",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 AUGUSTA WEST PKWY STE 2B",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091808",
            "telephone_number": "706-729-6000",
            "fax_number": "706-729-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "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": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003179705A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.