NPIMap

Organization Active NPI

Amedisys Pennsylvania LLC

Doing business as Amedisys Home Health

  • Home Health Agency
  • Butler, PA
National Provider Identifier
1407177322
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
04110501 Issued in PA
Legal business name
AMEDISYS PENNSYLVANIA LLC
Doing business as
Amedisys Home Health
Practice address
240 Pullman SQ
Suite 255
Butler, PA 16001-5654
Phone
(724) 284-4663
Fax
(724) 284-1034
NPI assigned
Jun 15, 2010
Last updated
May 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Authorized official

Name
Joshua L. Proffitt
Title
Ceo
Phone
(337) 233-1307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 04110501 PA Primary

Addresses

Primary practice location

240 Pullman SQ
Suite 255
Butler, PA 16001-5654

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1020418560016MedicaidPA

Other names 1

  • Amedisys Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100730000190 PA Part A Provider - Home Health Agency 4082713979 Practice locations: Butler, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407177322. Details of each certification follow.

Home health agency certification: CCN 398146

Legal name
AMEDISYS PENNSYLVANIA LLC
Doing business as
AMEDISYS HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 26, 2010
Last certification
Apr 8, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Feb 12, 2007 in PA
Enrollment address
240 Pullman SQ
Ste 255
Butler, PA 16001-5654

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 HealthCCN 398146 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Oct 26, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Amedisys Pennsylvania LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

1112 Kennebec Dr
Chambersburg, PA 17201
Phone (717) 263-6536

3347 W 12th St
Ste 103
Erie, PA 16505
Phone (814) 836-7090

651 E Park Dr
Ste 102
Harrisburg, PA 17111
Phone (717) 998-0010

1018 W 9th Ave
Ste 130
King of Prussia, PA 19406
Phone (610) 619-0581

250 College Ave
Lancaster, PA 17603
Phone (717) 291-8211

480 New Holland Ave
Ste 8101
Lancaster, PA 17602
Phone (717) 291-8396

264 Highland Park Blvd
#H
Wilkes Barre, PA 18702
Phone (570) 824-0023

500 Pine St
Ste 3
Williamsport, PA 17701
Phone (570) 327-3060

1030 Reed Ave
Ste 110
Wyomissing, PA 19610
Phone (610) 736-3590

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.

NameRoleSinceShare
Unitedhealth Group Incorporated Organization, Minnetonka, MN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 14, 2025 100%
Marcus Donavon Macip Individual Corporate OfficerVice President Jan 1, 2026
Kimberly Seymour Individual Corporate OfficerCoo Apr 13, 2026
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 Feb 12, 2007 100%
Joni Babineaux Individual Corporate OfficerCfo Apr 13, 2026
Kristina J Braud Individual W-2 Managing EmployeeRegulatory Manager Apr 15, 2022
Jeanne Louise Shingleton Individual Corporate OfficerSecretary Jan 1, 2026
Amedisys Holding LLC Organization, Baton Rouge, LA LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Oct 26, 2010 100%
Marla H Drane Individual W-2 Managing EmployeeAdministrator Apr 7, 2012
Joshua Lee Proffitt Individual Corporate OfficerPresident & Ceo Jan 1, 2026

Practitioners & affiliated clinicians

Affiliated clinicians 72

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

View all 72

NPI Registry JSON

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1407177322",
    "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": "240 PULLMAN SQ",
            "address_2": "SUITE 255",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160015654",
            "telephone_number": "724-284-4663",
            "fax_number": "724-284-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS PENNSYLVANIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-15",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "337-233-1307"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "04110501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020418560016",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.