NPIMap

Organization Active NPI

Caretenders VS of Central Ky, LLC

Doing business as Caretenders of Northern Kentucky

  • Home Health Agency
  • Ft Wright, KY
National Provider Identifier
1295980043
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CARETENDERS VS OF CENTRAL KY, LLC
Doing business as
Caretenders of Northern Kentucky
Practice address
1717 Dixie Hwy
Suite 240
Ft Wright, KY 41011-2766
Phone
(859) 578-0022
Fax
(859) 441-6380
NPI assigned
Nov 20, 2008
Last updated
Sep 16, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CARETENDERS VS OF CENTRAL KY, LLCAs reported in NPPES

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
Executive Vice President
Phone
(337) 233-1307

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X
Early Intervention Provider Agency 252Y00000X
In Home Supportive Care Agency 253Z00000X
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X

Addresses

Primary practice location

1717 Dixie Hwy
Suite 240
Ft Wright, KY 41011-2766

Mailing address

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

Other names 1

  • Caretenders of Northern Kentucky Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080701000035 KY Part A Provider - Home Health Agency 8123190568 1 other NPI on this enrollment
Practice locations: Ft Wright, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295980043. Details of each certification follow.

Home health agency certification: CCN 187303

Legal name
CARETENDERS VS OF CENTRAL KY, LLC
Doing business as
CARETENDERS OF NORTHERN KY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 16, 1997
Last certification
Jul 18, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
1717 Dixie Hwy
Ste 240
Ft Wright, KY 41011-4701

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Caretenders of Northern KentuckyCCN 187303 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jul 16, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, 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
18D0925873Caretenders VS of Central Ky, LLC D/B/a1717 Dixie Highway, Ste 240, Fort Wright, KY 41011Certificate of waiverMar 9, 2027

National Provider Directory

National Provider Directory
Tax ID family
Caretenders VS of Central Ky LLC2 organizations share this tax ID, including this one
Part of
Caretenders VS of Central Ky LLC

Other organizations with this tax ID 1

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

Locations

168 Barnwood Dr
Ste A
Edgewood, KY 41017
Phone (859) 578-0022

3037 Dixie Hwy
Ste 215
Edgewood, KY 41017
Phone (859) 578-0022

1717 Dixie Hwy
Ste 240
Ft Wright, KY 41011
Phone (859) 578-0022

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
Wendy S Daigle Individual Corporate Officer Oct 1, 2022
LHC Group Inc Organization, Lafayette, LA Corporation, Chain home office 5% Or Greater Indirect Ownership Interest Apr 1, 2018 100%
Karen Creamer Individual W-2 Managing EmployeeAdministrator Jan 1, 2018
Joshua Lee Proffitt Individual Corporate OfficerPresident Dec 31, 2019
Almost Family, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Oct 10, 2007 100%
National Health Industries, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Direct Ownership Interest Jan 1, 2008 100%
Amy Cormier Individual Corporate DirectorDirector of Managed Care 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

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Affiliated clinicians 9

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": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1295980043",
    "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": "1717 DIXIE HWY",
            "address_2": "SUITE 240",
            "city": "FT WRIGHT",
            "state": "KY",
            "postal_code": "410112766",
            "telephone_number": "859-578-0022",
            "fax_number": "859-441-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARETENDERS VS OF CENTRAL KY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARETENDERS VS OF CENTRAL KY, LLC",
        "enumeration_date": "2008-11-20",
        "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": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caretenders of Northern Kentucky",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Caretenders of Northern Kentucky",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ft Wright, KY

Sources for this page

Verify at the official NPI Registry.