NPIMap

Caretenders VS of Central Ky, LLC

Organization Active NPI Home Health Agency · Ft Wright, KY

NPI 1295980043 · NPPES record last updated Sep 16, 2024

Key facts

NPI
1295980043
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
Legal business name
CARETENDERS VS OF CENTRAL KY, LLC
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
Organization subpart
Yes
Parent organization (as reported)
CARETENDERS VS OF CENTRAL KY, LLC

Authorized official

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

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.

Other NPIs on the same Medicare enrollment 1

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

Corporate family (same tax ID) 1

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

Facilities with the same owner 111

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

View all 111

Affiliated clinicians 9

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

Medicare Care Compare: Home health agency

Listed as
Caretenders of Northern Kentucky CCN 187303
Overall star rating
★★★☆☆ 3 of 5
Ownership
Proprietary
Certified
Jul 16, 1997
Medicare certification status
Active (Provider of Services file)
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Source: Medicare Care Compare.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D0925873Caretenders VS of Central Ky, LLC D/B/a
1717 Dixie Highway, Ste 240, Fort Wright, KY 41011		Certificate of waiverMar 9, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY

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
LLC · Proprietary
Enrollment address
1717 Dixie Hwy
Ste 240
Ft Wright, KY 41011-4701

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 Officer
Secretary		 Feb 22, 2023
Kimberly Seymour
Individual 		Corporate Officer
Cfo/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 Employee
Administrator		 Jan 1, 2018
Joshua Lee Proffitt
Individual 		Corporate Officer
President		 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 Director
Director of Managed Care		 May 1, 2025

Medicare enrollment records

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

National Provider Directory

Tax ID family
Caretenders VS of Central Ky LLC (2 organizations share this tax ID)
Part of
Caretenders VS of Central Ky LLC

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Home Health Agency 251E00000X Yes
Nursing Care Agency 251J00000X
Early Intervention Provider Agency 252Y00000X
In Home Supportive Care Agency 253Z00000X
Personal Care Attendant
Group: 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

  • Caretenders of Northern Kentucky Doing business as

Other providers in Ft Wright, KY

All providers in Ft Wright, KY · Home Health Agency in Kentucky

Sources for this page

Verify at the official NPI Registry.