Amedisys Hospice, LLC
Organization Active NPI Community Based Hospice Care Agency · Morgantown, WV
NPI 1396799474 · NPPES record last updated Apr 6, 2026
Key facts
- NPI
- 1396799474
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- License
- 19 (WV)
- Legal business name
- AMEDISYS HOSPICE, LLC
- Practice address
- 5006 Mid Atlantic Dr
Morgantown, WV 26508-4290 - Phone
- (304) 292-4868
- Fax
- (304) 292-4867
- NPI assigned
- May 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Joshua L. Proffitt
- Title
- President and Ceo
- Phone
- (617) 639-4092
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 41
Facilities with the same owner 21
Affiliated clinicians 11
-
William G. Bowles, D.O.
-
Bonnie Jo Forman, M.D.
-
Perry L Hall III, DO
-
James E Malone, D.O.
-
John Manchin II, DO
-
Julia E Ramberg, MD
Medicare Care Compare: Hospice
- Listed as
- Amedisys Hospice Care
- Ownership
- For-Profit
- Certified
- Jan 19, 2001
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 51D0980435 | Tender Loving Care Health Care Services of West | Certificate of waiver | Nov 20, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
Hospice certification: CCN 511523
- Legal name
- TENDER LOVING CARE HEALTH CARE SERVICES OF WEST VIRGINIA, LLC
- Doing business as
- AMEDISYS HOSPICE CARE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jan 19, 2001
- Last certification
- Sep 2, 2020
- Ownership / control type
- Proprietary - Corporation
- Most recent change of ownership
- Aug 14, 2025
- Organization structure
- LLC · Proprietary
- Incorporated
- Apr 7, 2004 in WV
- Enrollment address
- 5006 Mid Atlantic Dr
Morgantown, WV 26508-4290
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Unitedhealth Group Incorporated |
5% Or Greater Indirect Ownership Interest | Aug 14, 2025 | 100% |
| Dodie Piovarchy |
W-2 Managing Employee |
Jun 30, 2018 | 100% |
| Operational/Managerial Control |
Jun 30, 2018 | 100% | |
| Scott G Ginn |
Corporate Officer |
Apr 15, 2022 | |
| Bridget R Kaigler |
W-2 Managing Employee |
Apr 15, 2022 | |
| TLC Health Care Services LLC |
5% Or Greater Direct Ownership Interest | Jun 20, 2008 | 100% |
| Amedisys Inc |
5% Or Greater Indirect Ownership Interest | Jun 20, 2008 | 100% |
| Travis Miglicco |
Corporate Officer |
Apr 15, 2022 | |
| Richard M Ashworth |
Corporate Officer |
Apr 10, 2023 | |
| Kristina J Braud |
W-2 Managing Employee |
Apr 15, 2022 | |
| Amedisys TLC Acquisitions LLC |
5% Or Greater Indirect Ownership Interest | Jun 20, 2008 | 100% |
| Amedisys Holding LLC |
5% Or Greater Indirect Ownership Interest | Jun 20, 2008 | 100% |
| Jennifer Guckert-Griffin |
Corporate Officer |
Apr 1, 2022 | |
| TLC Holdings LLC |
5% Or Greater Indirect Ownership Interest | Jun 20, 2008 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040806000749 | WV | Part a Provider - Hospice | 4486626967 | Practice locations: Anmoore, WV; Morgantown, WV; Triadelphia, WV |
National Provider Directory
- Tax ID family
- Amedisys Hospice LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 19 | WV | Yes |
| Inpatient Hospice | 315D00000X | 19 | WV |
Addresses
Primary practice location
5006 Mid Atlantic Dr
Morgantown, WV 26508-4290
Mailing address
3854 American Way Ste a
Baton Rouge, LA 70816-4897
Phone (225) 292-2031
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1703595 | Other | WV | WV BCBS HOSPICE |
| 3810003295 | Medicaid | WV | |
| 3810003296 | Medicaid | WV | |
| 3810003007 | Medicaid | WV | |
| 3810019181 | Medicaid | WV | |
| 2594938 | Medicaid | OH |
Other names
- Amedisys Hospice Care
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- McKenzie Helen Ambrose
- Amedisys Hospice LLC
- Jessica Alexandra Amedro
- Firaol German Amente
- Kristeena America
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All providers in Morgantown, WV · Community Based Hospice Care Agency in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.