NPIMap

Organization Active NPI

Tender Loving Care Health Care Services Western, LLC

Doing business as Amedisys Home Health Care

  • Home Health Agency
  • Hayward, CA
National Provider Identifier
1114971280
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
020000376 Issued in CA
Legal business name
TENDER LOVING CARE HEALTH CARE SERVICES WESTERN, LLC
Doing business as
Amedisys Home Health Care
Practice address
24301 Southland Dr
Suite 411
Hayward, CA 94545-1542
Phone
(510) 732-0730
Fax
(510) 732-0731
NPI assigned
May 21, 2006
Last updated
Apr 7, 2026By the provider in NPPES
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
Home Health Agency 251E00000X 020000376 CA Primary

Addresses

Primary practice location

24301 Southland Dr
Suite 411
Hayward, CA 94545-1542

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
557194OtherCASECURE HORIZONS DIRECT PP
HHA57194GMedicaidCA

Other names 1

  • Amedisys Home Health Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040806000955 CA Part A Provider - Home Health Agency 2365414885 Practice locations: Hayward, CA; Pleasant Hill, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114971280. Details of each certification follow.

Home health agency certification: CCN 557194

Legal name
TENDER LOVING CARE HEALTH CARE SERVICES WESTERN, LLC
Doing business as
AMEDISYS HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 6, 1992
Last certification
Jan 13, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Apr 7, 2004 in CA
Enrollment address
24301 Southland Dr
Ste 411
Hayward, CA 94545-1551

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: Home health agency

Medicare Care Compare
Listed as
Amedisys Home Health CareCCN 557194 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
May 6, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Tender Loving Care Health Care Services Western LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Ownership & related parties

All disclosed owners & managing parties 14

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 W-2 Managing Employee Apr 15, 2022
Operational/Managerial ControlSr. Director, Tax Apr 15, 2022
TLC Health Care Services LLC Organization, Baton Rouge, LA 5% Or Greater Direct Ownership Interest Mar 26, 2008 100%
Amedisys Inc Organization, Baton Rouge, LA Corporation 5% Or Greater Indirect Ownership Interest Mar 26, 2008 100%
Joni Babineaux Individual Corporate OfficerCfo Apr 13, 2026
Kristina J Braud Individual W-2 Managing Employee Apr 15, 2022
Operational/Managerial ControlRegulatory Manager Apr 15, 2022
Amedisys TLC Acquisitions LLC Organization, Baton Rouge, LA LLC 5% Or Greater Indirect Ownership Interest Mar 26, 2008 100%
Jeanne Louise Shingleton Individual Corporate OfficerSecretary Jan 1, 2026
Amedisys Holding LLC Organization, Baton Rouge, LA LLC 5% Or Greater Indirect Ownership Interest Mar 26, 2008 100%
Joshua Lee Proffitt Individual Corporate OfficerPresident Jan 1, 2026
TLC Holdings LLC Organization, Baton Rouge, LA LLC 5% Or Greater Indirect Ownership Interest Mar 26, 2008 100%
Richard Valbuena Individual W-2 Managing EmployeeAd; Apr 15, 2024

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Amedisys Home Health CareTucson, AZ, CCN 037248 Home health agency 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 21

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

View all 21

Practitioners & affiliated clinicians

Affiliated clinicians 11

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": "1148169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1114971280",
    "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": "24301 SOUTHLAND DR",
            "address_2": "SUITE 411",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945451542",
            "telephone_number": "510-732-0730",
            "fax_number": "510-732-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER LOVING CARE HEALTH CARE SERVICES WESTERN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-21",
        "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": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "020000376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURE HORIZONS DIRECT PP",
            "identifier": "557194",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA57194G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hayward, CA

Sources for this page

Verify at the official NPI Registry.