NPIMap

Organization Active NPI

Mederi Caretenders VS of Tampa, LLC

  • Home Health Agency
  • Tampa, FL
National Provider Identifier
1366631061
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MEDERI CARETENDERS VS OF TAMPA, LLC
Practice address
1413 Tech Blvd Ste 123
Tampa, FL 33619-7822
Phone
(813) 282-8520
Fax
(813) 282-8530
NPI assigned
Oct 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 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 Primary

Addresses

Primary practice location

1413 Tech Blvd Ste 123
Tampa, FL 33619-7822

Mailing address

901 Hugh Wallis Rd S
Lafayette, LA 70508-2511
Phone (337) 233-1307

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080513000569 FL Part A Provider - Home Health Agency 5496824757 Practice locations: Tampa, FL

Home health agency certification: CCN 107572

Legal name
MEDERI CARETENDERS VS OF TAMPA, LLC
Doing business as
MEDERI CARETENDERS
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 5, 1997
Last certification
Jan 31, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Oct 15, 2007 in FL
Enrollment address
1413 Tech Blvd
Ste 123
Tampa, FL 33619-7822

Care Compare: Home health agency

Medicare Care Compare
Listed as
Mederi CaretendersCCN 107572 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Aug 5, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, 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
10D0923724Mederi Caretenders VS of Tampa LLC1413 Tech Blvd - Suite 123, Tampa, FL 33619Certificate of waiverJan 8, 2027

National Provider Directory

National Provider Directory

Locations

329 E Robertson St
Brandon, FL 33511
Phone (813) 661-1439

1476 Town Center Dr
Ste 211
Lakeland, FL 33803
Phone (863) 683-8424

625 E Lime St
Ste 4
Lakeland, FL 33801
Phone (863) 683-8424

1413 Tech Blvd
Ste 123
Tampa, FL 33619
Phone (813) 282-8520

7823 N Dale Mabry Hwy
Ste 107
Tampa, FL 33614
Phone (239) 273-2797

1413 Tech Blvd
Ste 125
Tampa, FL 33619
Phone (813) 282-8520

2919 W Swann Ave
Ste 400C
Tampa, FL 33609
Phone (813) 872-8103

Ownership & related parties

All disclosed owners & managing parties 12

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
Yasmin Richardson Individual W-2 Managing EmployeeAdministrat / Alt Don Nov 3, 2025
Kimberly Seymour Individual Corporate OfficerCoo Apr 13, 2026
W-2 Managing EmployeeCoo Apr 13, 2026
Joni Babineaux Individual Corporate OfficerCfo Apr 13, 2026
Almost Family Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Oct 27, 2007 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 Apr 1, 2018 100%
National Health Industries Organization, Lafayette, LA Corporation 5% Or Greater Direct Ownership Interest Oct 27, 2007 100%
Joshua Lee Proffitt Individual Corporate OfficerPresident Aug 1, 2012
Laura Kitchens Individual W-2 Managing EmployeeAd; May 12, 2025
Amy Cormier Individual Corporate DirectorDirector of Managed Care May 1, 2025

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1366631061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 HUGH WALLIS RD S",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705082511",
            "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": "1413 TECH BLVD STE 123",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336197822",
            "telephone_number": "813-282-8520",
            "fax_number": "813-282-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDERI CARETENDERS VS OF TAMPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.