NPIMap

Organization Active NPI

Acadian Home Health Care Services, LLC

Doing business as Southern Home Health

  • Home Health Agency
  • Lake Charles, LA
National Provider Identifier
1326095209
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1003 Issued in LA
Legal business name
ACADIAN HOME HEALTH CARE SERVICES, LLC
Doing business as
Southern Home Health
Practice address
3417 Patrick St
Lake Charles, LA 70605-1715
Phone
(337) 479-2233
Fax
(337) 479-2244
NPI assigned
May 27, 2006
Last updated
Oct 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1003 LA Primary
Nursing Care Agency 251J00000X

Addresses

Primary practice location

3417 Patrick St
Lake Charles, LA 70605-1715

Mailing address

P.O. Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307

Other names 1

  • Southern Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051105000377 LA Part A Provider - Home Health Agency 2961311360 Practice locations: Lake Charles, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1326095209. Details of each certification follow.

Home health agency certification: CCN 197766

Legal name
ACADIAN HOME HEALTH CARE SERVICES, LLC
Doing business as
SOUTHERN HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 31, 2000
Last certification
Jul 14, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Dec 18, 2002 in LA
Enrollment address
3417 Patrick Street
Lake Charles, LA 70605-1715

Care Compare: Home health agency

Medicare Care Compare
Listed as
Southern Home HealthCCN 197766 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jul 31, 2000
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
19D0961957Southern Home Health3417 Patrick Street, Lake Charles, LA 70605Certificate of waiverFeb 10, 2028

National Provider Directory

National Provider Directory

Locations

1435 Sam Houston Jones Pkwy
Ste C
Lake Charles, LA 70611
Phone (337) 855-1287

3417 Patrick St
Lake Charles, LA 70605
Phone (337) 479-2233

2223 Maplewood Dr
Sulphur, LA 70663
Phone (337) 626-4663

305 Palmer St
Welsh, LA 70591
Phone (337) 734-4278

Ownership & related parties

All disclosed owners & managing parties 8

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 Officer Feb 22, 2023
Wendy S Daigle Individual Corporate DirectorDirector, Licensure & Regulatory Oct 1, 2022
Stephanie F Hyatt Individual W-2 Managing EmployeeAdministrator .Director of Nursi Sep 12, 2016 100%
Operational/Managerial ControlAdministrator /Director of Nursi Nov 29, 2012
LHC Group Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Feb 9, 2005
Operational/Managerial Control Feb 9, 2005
Joshua Lee Proffitt Individual Corporate OfficerExec VP, Cfo, LHC Group Inc Aug 1, 2012
Louisiana Health Care Group LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Jan 1, 2003 100%

Facilities with the same owner 44

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

View all 44

Practitioners & affiliated clinicians

Affiliated clinicians 42

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

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1326095209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307",
            "fax_number": "337-233-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 PATRICK ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706051715",
            "telephone_number": "337-479-2233",
            "fax_number": "337-479-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIAN HOME HEALTH CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "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": "LA",
            "license": "1003",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southern Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.