NPIMap

Organization Active NPI

Health at Home Hospice - Columbus, LLC

Doing business as Brookdale Hospice Columbus

  • Community Based Hospice Care Agency
  • Columbus, OH
National Provider Identifier
1255908182
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HEALTH AT HOME HOSPICE - COLUMBUS, LLC
Doing business as
Brookdale Hospice Columbus
Caretenders Hospice
Practice address
2550 Corporate Exchange Dr Ste 101
Columbus, OH 43231-1660
Phone
(614) 210-1150
Fax
(614) 210-1159
NPI assigned
Jun 9, 2021
Last updated
May 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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 NU Primary

Addresses

Primary practice location

2550 Corporate Exchange Dr Ste 101
Columbus, OH 43231-1660

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
0008974MedicaidOH

Other names 2

  • Brookdale Hospice Columbus Doing business as
  • Caretenders Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210923003862 OH Part A Provider - Hospice 3375940968 Practice locations: Columbus, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255908182. Details of each certification follow.

Hospice certification: CCN 361681

Legal name
HEALTH AT HOME HOSPICE - COLUMBUS, LLC
Doing business as
CARETENDERS HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 14, 2014
Last certification
Apr 14, 2014
Ownership / control type
Proprietary - Other
Organization structure
LLCProprietary
Incorporated
May 26, 2021 in DE
Enrollment address
2550 Corporate Exchange Dr
Ste 101
Columbus, OH 43231-1660

Care Compare: Hospice

Medicare Care Compare
Listed as
Caretenders HospiceCCN 361681 · All quality measures
Ownership
For-Profit
Certified
Apr 14, 2014
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
36D2067366Health at Home Hospice-Columbus Dba2550 Corporate Exchange Drive, Columbus, OH 43231Certificate of waiverOct 14, 2027

National Provider Directory

National Provider Directory

Locations

2550 Corporate Exchange Dr
Ste 101
Columbus, OH 43231
Phone (614) 210-1150

Ownership & related parties

All disclosed owners & managing parties 10

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
Health at Home Holdings LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Nov 1, 2021 100%
Stephen M Canowitz Individual Contracted Managing EmployeeMD; Jan 1, 2024
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%
Joshua Lee Proffitt Individual Corporate OfficerPresident Nov 1, 2021
Amy Cormier Individual Corporate DirectorDirector of Managed Care May 1, 2025
Carole Chakamba Individual W-2 Managing EmployeeAd; Jan 1, 2026

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

Change-of-ownership history 1

DateEventCounterparty
Jun 22, 2021 Change of OwnershipThis provider was the buyer Brookdale Hospice ColumbusCCN 361681, OH, NPI 1548698319

Change of ownership 1

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

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": "1623196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1255908182",
    "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": "2550 CORPORATE EXCHANGE DR STE 101",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432311660",
            "telephone_number": "614-210-1150",
            "fax_number": "614-210-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH AT HOME HOSPICE - COLUMBUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-09",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008974",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Hospice Columbus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brookdale Hospice Columbus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Caretenders Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.