NPIMap

Organization Active NPI

Clinton Home Health & Hospice, LLC

Doing business as Alliance Oklahoma Home Health Western Oklahoma

  • Home Health Agency
  • Clinton, OK
National Provider Identifier
1194739763
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
7138 Issued in OK
Legal business name
CLINTON HOME HEALTH & HOSPICE, LLC
Doing business as
Alliance Oklahoma Home Health Western Oklahoma
Assured Home Health of Clinton
Practice address
514 Avant Ave
Clinton, OK 73601-3436
Phone
(580) 323-0277
Fax
(580) 323-0821
NPI assigned
Jul 28, 2006
Last updated
Apr 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7138 OK Primary

Addresses

Primary practice location

514 Avant Ave
Clinton, OK 73601-3436

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
100700010CMedicaidOK

Other names 2

  • Alliance Oklahoma Home Health Western Oklahoma Doing business as
  • Assured Home Health of Clinton Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120322000645 OK Part A Provider - Home Health Agency 9830359298 Practice locations: Clinton, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194739763. Details of each certification follow.

Home health agency certification: CCN 377277

Legal name
CLINTON HOME HEALTH & HOSPICE LLC
Doing business as
ASSURED HOME HEALTH OF CLINTON
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 20, 1993
Last certification
Jun 9, 2016
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jan 25, 2012 in OK
Enrollment address
514 Avant Ave
Clinton, OK 73601-3436

Care Compare: Home health agency

Medicare Care Compare
Listed as
Assured Home Health of ClintonCCN 377277 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Dec 20, 1993
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
37D0880139Assured Home Health of Clinton514 Avant Ave, Clinton, OK 73601Certificate of waiverDec 6, 2027

National Provider Directory

National Provider Directory

Member of 1

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

Locations

9510 Ormsby Station Rd
Ste 800
Louisville, KY 40223

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 Apr 1, 2023 100%
Peggy Rennels Individual W-2 Managing EmployeeAdministrator / Director of Nursing Dec 5, 2021
Afam Holding Co IV, LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Apr 1, 2023 100%
Keith G Myers Individual Corporate OfficerPresident Apr 30, 2018
Wendy S Daigle Individual Corporate DirectorDirector, Licensure & Regulatory May 1, 2025
LHC Group Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Apr 1, 2013 100%
Joshua Lee Proffitt Individual Corporate OfficerTreasurer Apr 30, 2018
Almost Family, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Apr 1, 2023 100%
National Health Industries, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Dec 31, 2016 80%
Afam Sub I LLC Organization, Lafayette, LA LLC 5% Or Greater Indirect Ownership Interest Apr 1, 2023 20%
Amy Cormier Individual Corporate OfficerDirector, 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 8

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": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1194739763",
    "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": "514 AVANT AVE",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736013436",
            "telephone_number": "580-323-0277",
            "fax_number": "580-323-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON HOME HEALTH & HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "337-233-1307",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "7138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100700010C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alliance Oklahoma Home Health Western Oklahoma",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alliance Oklahoma Home Health Western Oklahoma",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Assured Home Health of Clinton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, OK

Sources for this page

Verify at the official NPI Registry.