NPIMap

Organization Active NPI

Berwick Home Care Services LLC

Doing business as Commonwealth Hospice of Berwick

  • Community Based Hospice Care Agency
  • Forty Fort, PA
National Provider Identifier
1457385353
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
16361601 Issued in PA
Legal business name
BERWICK HOME CARE SERVICES LLC
Doing business as
Commonwealth Hospice of Berwick
Practice address
900 Rutter Ave Ste 20
Forty Fort, PA 18704-4965
Phone
(570) 231-5407
Fax
(570) 520-4115
NPI assigned
Jul 10, 2006
Last updated
Jul 15, 2026By the provider in NPPES
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
Community Based Hospice Care Agency 251G00000X 16361601 PA Primary

Addresses

Primary practice location

900 Rutter Ave Ste 20
Forty Fort, PA 18704-4965

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1024488590001MedicaidPA

Other names 1

  • Commonwealth Hospice of Berwick Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090421000209 PA Part A Provider - Hospice 1951458413 1 other NPI on this enrollment
Practice locations: Berwick, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457385353. Details of each certification follow.

Hospice certification: CCN 391636

Legal name
BERWICK HOME CARE SERVICES LLC
Doing business as
COMMONWEALTH HOSPICE OF BERWICK
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 27, 2001
Last certification
Oct 22, 2021
Ownership / control type
Other
Organization structure
LLCProprietary
Incorporated
Aug 19, 2008 in DE
Enrollment address
1409 N Market St
Ste 202
Berwick, PA 18603-2140

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospice

Medicare Care Compare
Listed as
Commonwealth Hospice of BerwickCCN 391636 · All quality measures
Ownership
For-Profit
Certified
Jul 27, 2001
Medicare certification status
ActiveFrom the Provider of Services file

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
39D1107799Berwick Home Care Services, LLC900 Rutter Ave, Ste 20, Forty Fort, PA 18704Certificate of waiverNov 12, 2027

National Provider Directory

National Provider Directory

Locations

109 W 9th St
Berwick, PA 18603
Phone (570) 520-4063

120 E 3rd St
Berwick, PA 18603
Phone (570) 507-9428

1409 Market St
#201
Berwick, PA 18603
Phone (570) 520-4063

1409 Market St
#202
Berwick, PA 18603
Phone (570) 231-5407

900 Rutter Ave
Ste 20
Forty Fort, PA 18704

Ownership & related parties

All disclosed owners & managing parties 10

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
Irene Florek Individual W-2 Managing EmployeeAdministrator/Director of Nursing Sep 18, 2023
Kimberly Seymour Individual Corporate OfficerCfo/Treasurer Feb 22, 2023
Afam Holding Co III, LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest May 1, 2021 100%
LHC Group Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest May 1, 2021 100%
Joshua Lee Proffitt Individual Corporate OfficerPresident May 1, 2021
Almost Family, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest May 1, 2021 100%
National Health Industries, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest May 1, 2021 80%
Afam Sub I LLC Organization, Lafayette, LA LLC 5% Or Greater Indirect Ownership Interest May 1, 2021 20%

Facilities with the same owner 111

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

View all 111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 3

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": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1457385353",
    "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": "337-233-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 RUTTER AVE STE 20",
            "city": "FORTY FORT",
            "state": "PA",
            "postal_code": "187044965",
            "telephone_number": "570-231-5407",
            "fax_number": "570-520-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERWICK HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "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": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "PA",
            "license": "16361601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024488590001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Commonwealth Hospice of Berwick",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forty Fort, PA

Sources for this page

Verify at the official NPI Registry.