NPIMap

Organization Active NPI

Amedisys Hospice, LLC

Doing business as Amedisys Hospice of Vienna

  • Community Based Hospice Care Agency
  • Vienna, WV
National Provider Identifier
1366600256
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
21 Issued in WV
Legal business name
AMEDISYS HOSPICE, LLC
Doing business as
Amedisys Hospice of Vienna
Practice address
2200 Grand Central Ave
Suite 102
Vienna, WV 26105-1300
Phone
(304) 424-6270
Fax
(304) 424-6274
NPI assigned
May 28, 2008
Last updated
Apr 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joshua Proffitt
Title
President and Ceo
Phone
(617) 639-4092

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 21 WV Primary
Inpatient Hospice 315D00000X 21 WV

Addresses

Primary practice location

2200 Grand Central Ave
Suite 102
Vienna, WV 26105-1300

Mailing address

3854 American Way Ste a
Baton Rouge, LA 70816-4897
Phone (225) 292-2031

Other identifiers 3

IdentifierTypeStateIssuer
3810017240MedicaidWV
3810019171MedicaidWV
3810011798MedicaidWV

Other names 1

  • Amedisys Hospice of Vienna Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080616000637 WV Part A Provider - Hospice 9133132822 Practice locations: Vienna, WV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366600256. Details of each certification follow.

Hospice certification: CCN 511525

Legal name
AMEDISYS WEST VIRGINIA, L.L.C.
Doing business as
AMEDISYS HOSPICE OF VIENNA
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 2, 2008
Last certification
Jul 21, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Jan 19, 2006 in WV
Enrollment address
2200 Grand Central Ave
Ste 102
Vienna, WV 26105-1300

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Amedisys Hospice of ViennaCCN 511525 · All quality measures
Ownership
For-Profit
Certified
Apr 2, 2008
Medicare certification status
ActiveFrom the Provider of Services file

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
51D1081240Amedisys Hospice, LLC2200 Grand Central Avenue Suite 102, Vienna, WV 26105Certificate of waiverMar 12, 2028

National Provider Directory

National Provider Directory
Tax ID family
Amedisys Hospice LLC42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

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

View all 41

Locations

2200 Grand Central Ave
Ste 102
Vienna, WV 26105
Phone (304) 424-6270

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, For-profit 5% Or Greater Indirect Ownership Interest Aug 14, 2025 100%
Scott G Ginn Individual Corporate OfficerCfo, VP, Treasurer Apr 15, 2022
Bridget R Kaigler Individual W-2 Managing EmployeeSr. Director Tax Apr 15, 2022
Amedisys Inc Organization, Baton Rouge, LA Corporation, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2008 100%
Travis Miglicco Individual Corporate OfficerSenior Vice President of Tax Apr 15, 2022
Richard M Ashworth Individual Corporate OfficerPresident and Ceo Apr 10, 2023
Kristina J Braud Individual W-2 Managing EmployeeRegulatory Manager Apr 15, 2022
Amedisys Holding LLC Organization, Baton Rouge, LA LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 1, 2008 100%
Jennifer Guckert-Griffin Individual Corporate OfficerVP and Secretary Apr 1, 2022
Sarah Hoosier Individual W-2 Managing EmployeeAdministrator Nov 5, 2022 100%
Operational/Managerial ControlAdministrator Nov 5, 2022 100%

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Morgantown Hospice, an Amedisys PartnerMorgantown, WV, CCN 511511A Hospice 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Amedisys Hospice LLC

    dba Morgantown Hospice, an Amedisys partner

    • Community Based Hospice Care Agency
    • Morgantown, WV
    • NPI 1659461804

    5% Or Greater Direct Ownership Interest

    CMS ownership

Practitioners & affiliated clinicians

Affiliated clinicians 8

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": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1366600256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3854 AMERICAN WAY STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164897",
            "telephone_number": "225-292-2031",
            "fax_number": "225-298-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 GRAND CENTRAL AVE",
            "address_2": "SUITE 102",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261051300",
            "telephone_number": "304-424-6270",
            "fax_number": "304-424-6274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-28",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "617-639-4092"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "WV",
            "license": "21",
            "primary": true
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "WV",
            "license": "21",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810017240",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810019171",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810011798",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Hospice of Vienna",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vienna, WV

Sources for this page

Verify at the official NPI Registry.