NPIMap

Organization Active NPI

Innovative Senior Care Home Health of Edmond LLC

Doing business as Assured Home Health of Oklahoma City

  • Home Health Agency
  • Oklahoma City, OK
National Provider Identifier
1447561741
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
INNOVATIVE SENIOR CARE HOME HEALTH OF EDMOND LLC
Doing business as
Assured Home Health of Oklahoma City
Practice address
5600 N May Ave
Ste 147
Oklahoma City, OK 73112-3973
Phone
(405) 341-4361
Fax
(405) 341-4349
NPI assigned
Jul 1, 2010
Last updated
Jul 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
Home Infusion Agency 251F00000X NU

Addresses

Primary practice location

5600 N May Ave
Ste 147
Oklahoma City, OK 73112-3973

Mailing address

PO Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307

Other names 1

  • Assured Home Health of Oklahoma City Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100916000563 OK Part A Provider - Home Health Agency 6507981354 Practice locations: Oklahoma City, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447561741. Details of each certification follow.

Home health agency certification: CCN 377666

Legal name
INNOVATIVE SENIOR CARE HOME HEALTH OF EDMOND LLC
Doing business as
ASSURED HOME HEALTH OF OKLAHOMA CITY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 10, 2004
Last certification
Jan 10, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
May 14, 2010 in DE
Enrollment address
5600 N May Ave
Ste 147
Oklahoma City, OK 73112-3973

Care Compare: Home health agency

Medicare Care Compare
Listed as
Assured Home Health of Oklahoma CityCCN 377666 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Mar 10, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, 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
37D2009702Assured Home Health of Oklahoma City5600 N May Avenue, Ste 147, Oklahoma City, OK 73112Certificate of waiverJul 11, 2028

National Provider Directory

National Provider Directory
Tax ID family
Assured Home Health of Oklahoma City2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

5600 N May Ave
Ste 147
Oklahoma City, OK 73112
Phone (405) 341-4361

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 5% Or Greater Indirect Ownership Interest Feb 22, 2023 100%
Marcus Donavon Macip Individual Corporate OfficerSecretary Feb 22, 2023
Kimberly Seymour Individual Corporate OfficerCfo/Treasurer Feb 22, 2023
Health at Home Holdings LLC Organization, Lafayette, LA LLC 5% Or Greater Indirect Ownership Interest Nov 1, 2021 100%
Tennessee Health Care Group LLC Organization, Lafayette, LA LLC 5% Or Greater Indirect Ownership Interest Nov 1, 2021 100%
Wendy S Daigle Individual Corporate DirectorDirector, Licensure & Regulatory Oct 1, 2022
Crystal Jackson Individual W-2 Managing EmployeeAdministrator/Director of Nursing Sep 21, 2022
LHC Group Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Nov 1, 2021 100%
Joshua Lee Proffitt Individual Corporate OfficerPresident Nov 1, 2021
Health at Home Holdings-Edmond, LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Nov 1, 2021 100%
Amy Cormier Individual Corporate DirectorDirector, Managed Care Network May 1, 2025

Facilities with the same owner 46

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

View all 46

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1277942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1447561741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "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": "5600 N MAY AVE",
            "address_2": "STE 147",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731123973",
            "telephone_number": "405-341-4361",
            "fax_number": "405-341-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE SENIOR CARE HOME HEALTH OF EDMOND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-01",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "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": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assured Home Health of Oklahoma City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.