NPIMap

Organization Active NPI

Elk Valley Professional Affiliates, Inc.

Doing business as SunCrest Home Health

  • Home Health Agency
  • Ooltewah, TN
National Provider Identifier
1124811104
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ELK VALLEY PROFESSIONAL AFFILIATES, INC.
Doing business as
SunCrest Home Health
Practice address
4922 La Collina Way Ste 201
Ooltewah, TN 37363-1415
Phone
(423) 238-7878
Fax
(423) 238-7897
NPI assigned
May 23, 2025
Last updated
May 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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 Agency 251E00000X NU Primary

Addresses

Primary practice location

4922 La Collina Way Ste 201
Ooltewah, TN 37363-1415

Mailing address

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

Other names 1

  • SunCrest Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251011000472 TN Part A Provider - Home Health Agency 3274614219 Practice locations: Ooltewah, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124811104. Details of each certification follow.

Home health agency certification: CCN 447551

Legal name
ELK VALLEY PROFESSIONAL AFFILIATES INC
Doing business as
SUNCREST HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 3, 1997
Last certification
Aug 10, 2017
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
4922 La Collina Way
Ste 201
Ooltewah, TN 37363-1415

Care Compare: Home health agency

Medicare Care Compare
Listed as
Suncrest Home HealthCCN 447551 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jan 3, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, 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
44D0922458Elk Valley Professional Affiliates, Inc4922 La Collina Way, Suite 201, Ooltewah, TN 37363Certificate of waiverNov 24, 2026

National Provider Directory

National Provider Directory

Locations

4922 La Collina Way
Ste 201
Ooltewah, TN 37363
Phone (423) 238-7878

Ownership & related parties

All disclosed owners & managing parties 8

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 May 31, 2025 100%
Marcus Donavon Macip Individual Corporate OfficerSecretary May 31, 2025
Kimberly Seymour Individual Corporate OfficerTreasurer May 31, 2025
Tennessee Health Care Group LLC Organization, Lafayette, LA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 31, 2025 100%
Wendy S Daigle Individual Corporate DirectorDirector Licensure Regulatory May 31, 2025
LHC Group Inc Organization, Lafayette, LA Corporation, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 31, 2025 100%
Joshua Lee Proffitt Individual Corporate OfficerPresident May 31, 2025
William D Van Eaton Individual W-2 Managing EmployeeAd;Ad;Director of Nursing May 31, 2025

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Deaconess HomecareMt Juliet, TN, CCN 447138 Home health agency 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2014
Deaconess HomecareSavannah, TN, CCN 447201 Home health agency 5% Or Greater Direct Ownership Interest (100%) Dec 1, 1993
Elk Valley Health Services, LLCNashville, TN, CCN 447823 Home health agency 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2020

Owned or controlled facilities with NPI records 3

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

Facilities with the same owner 46

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

View all 46

Change-of-ownership history 1

DateEventCounterparty
May 31, 2025 Change of OwnershipThis provider was the buyer Home Care SolutionsCCN 447551, TN, NPI 1477711679

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 6

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": "1747958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1124811104",
    "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": "4922 LA COLLINA WAY STE 201",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373631415",
            "telephone_number": "423-238-7878",
            "fax_number": "423-238-7897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELK VALLEY PROFESSIONAL AFFILIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "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": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SunCrest Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ooltewah, TN

Sources for this page

Verify at the official NPI Registry.