Organization Active NPI

Granite City Home Care Services, LLC

Doing business as Gateway Regional Home Health, Granite City

  • Home Health Agency
  • Granite City, IL
National Provider Identifier
1306812425
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010199 Issued in IL
Legal business name
GRANITE CITY HOME CARE SERVICES, LLC
Doing business as
Gateway Regional Home Health, Granite City
Practice address
2421 Corporate Ctr Ste 101
Granite City, IL 62040-4195
Phone
(618) 798-3200
Fax
(618) 798-3522
NPI assigned
Feb 28, 2006
Last updated
Aug 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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
Home Health Agency 251E00000X 1010199 IL Primary

Addresses

Primary practice location

2421 Corporate Ctr Ste 101
Granite City, IL 62040-4195

Mailing address

9510 Ormsby Station Rd
Ste 300
Louisville, KY 40223-4081
Phone (502) 891-1187

Other identifiers 1

IdentifierTypeStateIssuer
364460628004MedicaidIL

Other names 1

  • Gateway Regional Home Health, Granite City Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090618000558 IL Part A Provider - Home Health Agency 0446300123 Practice locations: Granite City, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306812425. Details of each certification follow.

Home health agency certification: CCN 147729

Legal name
GRANITE CITY HOME CARE SERVICES, LLC
Doing business as
GATEWAY REGIONAL HOME HEALTH, GRANITE CITY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 26, 2002
Last certification
Oct 3, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Aug 19, 2008 in DE
Enrollment address
2421 Corporate Ctr
Ste 101
Granite City, IL 62040-4195

Care Compare: Home health agency

Medicare Care Compare
Listed as
Gateway Regional Home Health - Granite CityCCN 147729 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Nov 26, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, 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
14D1094441Granite City Home Care Services LLC2421 Corporate Center - Ste 101, Granite City, IL 62040Certificate of waiverJan 19, 2027

National Provider Directory

National Provider Directory

Locations

2421 Corporate Ctr
Ste 101
Granite City, IL 62040
Phone (618) 798-3200

Ownership & related parties

All disclosed owners & managing parties 14

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%
Illinois Home Care Holdings LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Mar 1, 2019 1%
Marcus Donavon Macip Individual Corporate OfficerSecretary Feb 22, 2023
Kimberly Seymour Individual Corporate Officer Feb 22, 2023
Afam Holding Co LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Mar 1, 2019 99%
Angela Randla Individual W-2 Managing EmployeeAdministrator Jan 30, 2010
Wendy S Daigle Individual Corporate DirectorDirector of Licensure & Reg Affairs Oct 1, 2022
LHC Group Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Mar 1, 2019 100%
Joshua Lee Proffitt Individual Corporate OfficerPresident Apr 30, 2018
Almost Family, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Mar 1, 2019 100%
Tonya D Spraggs Individual W-2 Managing EmployeeDirector of Nursing Jun 30, 2022
National Health Industries, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Mar 1, 2019 80%
Afam Sub I LLC Organization, Lafayette, LA LLC 5% Or Greater Indirect Ownership Interest Mar 1, 2019 20%
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

Practitioners & affiliated clinicians

Affiliated clinicians 16

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

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1306812425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 ORMSBY STATION RD",
            "address_2": "STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234081",
            "telephone_number": "502-891-1187",
            "fax_number": "502-891-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 CORPORATE CTR STE 101",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620404195",
            "telephone_number": "618-798-3200",
            "fax_number": "618-798-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE CITY HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "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": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "364460628004",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gateway Regional Home Health, Granite City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Granite City, IL

Sources for this page

Verify at the official NPI Registry.