Active NPI
Amedisys Maine, P.L.L.C.
- Home Health Agency
- Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 38315
- Legal business name
- AMEDISYS MAINE, P.L.L.C.
- Practice address
- 1685 Congress St Ste 100
Portland, ME 04102-2100 - Phone
- (207) 772-7520
- Fax
- (207) 772-7545
- NPI assigned
- Apr 28, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joshua L. Proffitt
- Title
- President & Ceo
- Phone
- (617) 639-4092
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 03113 | ME | |
| Home Health Agency | 251E00000X | 38068 | ME | |
| Home Health Agency | 251E00000X | 38315 | ME | Primary |
Addresses
Primary practice location
1685 Congress St Ste 100
Portland, ME 04102-2100
Mailing address
3854 American Way Ste a
Baton Rouge, LA 70816-4897
Phone (225) 292-2031
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366617680 | Medicaid | ME |
Other names 1
- Amedisys Home Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080506000682 | ME | Part A Provider - Home Health Agency | 4587743257 | Practice locations: Augusta, ME; Portland, ME |
Home health agency certification: CCN 207073
- Legal name
- AMEDISYS MAINE PLLC
- Doing business as
- AMEDISYS HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- May 23, 2009
- Last certification
- Jan 7, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Nov 21, 2007 in ME
- Enrollment address
- 5 Community Dr
Ste A3
Augusta, ME 04330-8087
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Amedisys Home Health
- Overall star rating
- Ownership
- Proprietary
- Certified
- May 23, 2009
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 20D1085309 | Amedisys Maine PLLC | Certificate of waiver | Jun 12, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Amedisys Home Health
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Bangor, ME
- NPI 1316171796
Locations
5 Community Dr
Ste A3
Augusta, ME 04330
Phone (207) 707-6080
289 State St
Ste A
Bangor, ME 04401
Phone (207) 990-0029
23 Water St
Ste 208
Bangor, ME 04401
Phone (207) 990-0029
1685 Congress St
Ste 100
Portland, ME 04102
Phone (207) 772-7520
931 Congress St
Portland, ME 04102
Phone (207) 772-7520
34 Atlantic Pl
South Portland, ME 04106
Phone (207) 888-4694
Ownership & related parties
All disclosed owners & managing parties 11
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Angelica Dixon | W-2 Managing Employee | Sep 24, 2016 | 100% |
| Operational/Managerial Control | Sep 24, 2016 | 100% | |
| Unitedhealth Group Incorporated | 5% Or Greater Indirect Ownership Interest | Aug 14, 2025 | 100% |
| Marcus Donavon Macip | Corporate Officer | Jan 1, 2026 | |
| Kimberly Seymour | Corporate Officer | Apr 13, 2026 | |
| Bridget R Kaigler | W-2 Managing Employee | Apr 15, 2022 | |
| Operational/Managerial Control | Apr 15, 2022 | ||
| Amedisys Inc | 5% Or Greater Indirect Ownership Interest | Jun 2, 2009 | 100% |
| Joni Babineaux | Corporate Officer | Apr 13, 2026 | |
| Kristina J Braud | W-2 Managing Employee | Apr 15, 2022 | |
| Operational/Managerial Control | Apr 15, 2022 | ||
| Jeanne Louise Shingleton | Corporate Officer | Jan 1, 2026 | |
| Amedisys Holding LLC | 5% Or Greater Direct Ownership Interest | Jun 2, 2009 | 100% |
| Joshua Lee Proffitt | Corporate Officer | Jan 1, 2026 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Physical Therapist
- Saco, ME
- NPI 1821090820
Operational/Managerial Control, W-2 Managing Employee
Practitioners & affiliated clinicians
Affiliated clinicians 107
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Boothbay Harbor, ME
- NPI 1154473585
Home health agency
-
- Family Medicine Physician
- Fairfield, ME
- NPI 1033185988
Home health agency
-
- Family Medicine Physician
- Portland, ME
- NPI 1922444900
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778198400000",
"number": "1366617680",
"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": "225-295-9678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1685 CONGRESS ST STE 100",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022100",
"telephone_number": "207-772-7520",
"fax_number": "207-772-7545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMEDISYS MAINE, P.L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-28",
"last_updated": "2026-05-08",
"certification_date": "2026-05-08",
"status": "A",
"authorized_official_last_name": "PROFFITT",
"authorized_official_first_name": "JOSHUA",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "617-639-4092"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "ME",
"license": "03113",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "ME",
"license": "38068",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "ME",
"license": "38315",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1366617680",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Amedisys Home Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Amedisys Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.