NPIMap

Organization Active NPI

Brevard Hma Home Health, LLC

Doing business as Mederi Caretenders

  • Home Health Agency
  • Viera, FL
National Provider Identifier
1366409153
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA20201096 Issued in FL
Legal business name
BREVARD HMA HOME HEALTH, LLC
Doing business as
Mederi Caretenders
Practice address
8060 Spyglass Hill Rd
Viera, FL 32940-7983
Phone
(321) 253-2200
Fax
(321) 255-8145
NPI assigned
Apr 27, 2006
Last updated
May 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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 HHA20201096 FL Primary

Addresses

Primary practice location

8060 Spyglass Hill Rd
Viera, FL 32940-7983

Mailing address

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

Other names 1

  • Mederi Caretenders Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170828003822 FL Part A Provider - Home Health Agency 7315264942 Practice locations: Viera, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366409153. Details of each certification follow.

Home health agency certification: CCN 107217

Legal name
BREVARD HMA HOME HEALTH, LLC
Doing business as
MEDERI CARETENDERS
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 22, 1985
Last certification
Nov 11, 2015
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
8060 Spyglass Hill Rd
Viera, FL 32940-7983

Care Compare: Home health agency

Medicare Care Compare
Listed as
Wuesthoff Health System Home HealthCCN 107217 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Oct 22, 1985
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
10D1063582Brevard Hma Home Health LLC8060 Spyglass Hill Rd, Viera, FL 32940Certificate of waiverJan 16, 2027

National Provider Directory

National Provider Directory

Locations

989 Sebastian Blvd
Ste 101
Sebastian, FL 32958
Phone (772) 571-5914

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 5% Or Greater Indirect Ownership Interest Feb 22, 2023 100%
Judy Palino Individual W-2 Managing EmployeeAdministrator Feb 9, 2018
Marcus Donavon Macip Individual Corporate OfficerSecretary Feb 22, 2023
Kimberly Seymour Individual Corporate OfficerCoo Apr 13, 2026
W-2 Managing EmployeeCoo Apr 13, 2026
Joni Babineaux Individual Corporate OfficerCfo Apr 13, 2026
Afam Holding Co LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Mar 1, 2019 100%
Wendy S Daigle Individual Corporate DirectorDirector, Licensure & Regulatory Oct 1, 2022
LHC Group Inc Organization, Lafayette, LA Corporation, Chain home office 5% Or Greater Indirect Ownership Interest Mar 1, 2019
Joshua Lee Proffitt Individual Corporate OfficerPresident Mar 1, 2019
Almost Family, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Mar 1, 2019
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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1366409153",
    "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": "8060 SPYGLASS HILL RD",
            "city": "VIERA",
            "state": "FL",
            "postal_code": "329407983",
            "telephone_number": "321-253-2200",
            "fax_number": "321-255-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREVARD HMA HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "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": "FL",
            "license": "HHA20201096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mederi Caretenders",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Viera, FL

Sources for this page

Verify at the official NPI Registry.