NPIMap

Organization Active NPI

Patient Care Hospice, LLC

Doing business as Patient Care Hospice

  • Community Based Hospice Care Agency
  • Wayne, PA
National Provider Identifier
1245677020
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
17161601 Issued in PA
Legal business name
PATIENT CARE HOSPICE, LLC
Doing business as
Patient Care Hospice
Practice address
995 Old Eagle School Rd Ste 313
Wayne, PA 19087-1709
Phone
(610) 337-1101
Fax
(610) 337-1106
NPI assigned
Jun 3, 2013
Last updated
Sep 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 17161601 PA Primary

Addresses

Primary practice location

995 Old Eagle School Rd Ste 313
Wayne, PA 19087-1709

Mailing address

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

Other names 1

  • Patient Care Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130916000080 PA Part A Provider - Hospice 6103060090 Practice locations: Wayne, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245677020. Details of each certification follow.

Hospice certification: CCN 391716

Legal name
PATIENT CARE HOSPICE, LLC
Doing business as
PATIENT CARE HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 30, 2009
Last certification
Jan 6, 2017
Ownership / control type
Other
Organization structure
LLCProprietary
Incorporated
May 3, 2013 in DE
Enrollment address
995 Old Eagle School Rd
Ste 313
Wayne, PA 19087-1709

Care Compare: Hospice

Medicare Care Compare
Listed as
Patient Care HospiceCCN 391716 · All quality measures
Ownership
For-Profit
Certified
Jul 30, 2009
Medicare certification status
ActiveFrom the Provider of Services file

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
39D2087812Patient Care Hospice, LLC995 Old Eagle School Road, Suite 313, Wayne, PA 19087Certificate of waiverDec 3, 2026

National Provider Directory

National Provider Directory

Member of 1

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

Locations

995 Old Eagle School Rd
Ste 313
Wayne, PA 19087
Phone (610) 337-1101

995 Old Eagle School Rd
Ste 315
Wayne, PA 19087

Ownership & related parties

All disclosed owners & managing parties 9

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
Kimberly Seymour Individual Corporate OfficerCfo/Treasurer Feb 22, 2023
Christa Hynson-Weyant Individual W-2 Managing EmployeeAdministrator/Director of Nursing Jun 24, 2021
Operational/Managerial ControlAdministrator/Director of Nursing Jun 24, 2021
Health at Home Holdings LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Nov 1, 2021 100%
Tennessee Health Care Group LLC Organization, Lafayette, LA LLC 5% Or Greater Indirect Ownership Interest Nov 1, 2021 100%
LHC Group Inc Organization, Lafayette, LA Corporation, Chain home office 5% Or Greater Indirect Ownership Interest Nov 1, 2021 100%
Daniel N Duran Individual Contracted Managing EmployeeMD; Nov 30, 2025
Joshua Lee Proffitt Individual Corporate OfficerPresident Nov 1, 2021

Owners & managing parties with NPI records 1

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

Facilities with the same owner 46

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

View all 46

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1370217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1245677020",
    "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": "995 OLD EAGLE SCHOOL RD STE 313",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871709",
            "telephone_number": "610-337-1101",
            "fax_number": "610-337-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT CARE HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-03",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "PA",
            "license": "17161601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patient Care Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wayne, PA

Sources for this page

Verify at the official NPI Registry.