NPIMap

Organization Active NPI

Amedisys Maryland Sub, LLC

Doing business as Amedisys Home Health Care

  • Home Health Agency
  • Forest Hill, MD
National Provider Identifier
1295789360
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA7045 Issued in MD
Legal business name
AMEDISYS MARYLAND SUB, LLC
Doing business as
Amedisys Home Health Care
Practice address
134 Industry LN Ste 3
Forest Hill, MD 21050-3243
Phone
(410) 420-6412
Fax
(410) 420-6419
NPI assigned
May 21, 2006
Last updated
Nov 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Authorized official

Name
Travis Miglicco
Title
SVP Tax
Phone
(225) 299-3803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA7045 MD Primary

Addresses

Primary practice location

134 Industry LN Ste 3
Forest Hill, MD 21050-3243

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
201031840017OtherMDTRICARE HEALTH NET
420716503MedicaidMD

Other names 1

  • Amedisys Home Health Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040811001036 MD Part A Provider - Home Health Agency 0648242057 Practice locations: Forest Hill, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295789360. Details of each certification follow.

Home health agency certification: CCN 217045

Legal name
TENDER LOVING CARE HEALTH CARE SERVICES SOUTHEAST, LLC
Doing business as
AMEDISYS HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 15, 1979
Last certification
Feb 3, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Apr 7, 2004 in MD
Enrollment address
134 Industry LN
Ste 3
Forest Hill, MD 21050-3243
HHA Branch

Other NPIs with the same Medicare PAC ID 4

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 217045 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Nov 15, 1979
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 Southeast LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Ownership & related parties

All disclosed owners & managing parties 13

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%
Scott G Ginn Individual Corporate OfficerCfo, Treasurer and Vice President Apr 15, 2022
Tenika a Hardy Individual W-2 Managing EmployeeAdministrator May 29, 2020 100%
Operational/Managerial ControlAdministrator May 29, 2020 100%
Bridget R Kaigler Individual W-2 Managing Employee Apr 15, 2022
Operational/Managerial ControlRegulatory Manager Apr 15, 2022
TLC Health Care Services LLC Organization, Baton Rouge, LA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 1, 2004 100%
Amedisys Inc Organization, Baton Rouge, LA Corporation, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 26, 2008 100%
Travis Miglicco Individual Corporate OfficerSenior Vice President of Tax Apr 15, 2022
Richard M Ashworth Individual Corporate OfficerCeo Apr 10, 2023
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, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 26, 2008 100%
Amedisys Holding LLC Organization, Baton Rouge, LA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 26, 2008 100%
Jennifer Guckert-Griffin Individual Corporate OfficerVice President, Secretary Apr 1, 2022
TLC Holdings LLC Organization, Baton Rouge, LA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 26, 2008 100%

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 87

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 87

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": "1762732800000",
    "number": "1295789360",
    "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": "134 INDUSTRY LN STE 3",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210503243",
            "telephone_number": "410-420-6412",
            "fax_number": "410-420-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS MARYLAND SUB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-21",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "MIGLICCO",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "SVP TAX",
        "authorized_official_telephone_number": "225-299-3803"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "HHA7045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE HEALTH NET",
            "identifier": "201031840017",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420716503",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forest Hill, MD

Sources for this page

Verify at the official NPI Registry.