NPIMap

Organization Active NPI

Innovative Senior Care Home Health of High Point LLC

Doing business as SunCrest Home Health

  • Home Health Agency
  • Greensboro, NC
National Provider Identifier
1558637504
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC0395 Issued in NC
Legal business name
INNOVATIVE SENIOR CARE HOME HEALTH OF HIGH POINT LLC
Doing business as
SunCrest Home Health
Practice address
7900 Triad Center Dr Ste 250
Greensboro, NC 27409-9092
Phone
(336) 668-4558
Fax
(336) 668-7875
NPI assigned
Mar 23, 2012
Last updated
Sep 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC0395 NC Primary

Addresses

Primary practice location

7900 Triad Center Dr Ste 250
Greensboro, NC 27409-9092

Mailing address

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

Other names 1

  • SunCrest Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120720000500 NC Part A Provider - Home Health Agency 0840456737 Practice locations: Greensboro, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1558637504. Details of each certification follow.

Home health agency certification: CCN 347120

Legal name
INNOVATIVE SENIOR CARE HOME HEALTH OF HIGH POINT LLC
Doing business as
SUNCREST HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 19, 1984
Last certification
Jan 29, 2016
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Aug 3, 2011 in DE
Enrollment address
7900 Triad Center Dr
Ste 250
Greensboro, NC 27409-9092

Care Compare: Home health agency

Medicare Care Compare
Listed as
Suncrest Home HealthCCN 347120 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Sep 19, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, 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
34D2044702Suncrest Home Health7900 Triad Center Drive, Suite 250, Greensboro, NC 27409Certificate of waiverJul 29, 2028

National Provider Directory

National Provider Directory

Member of 1

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

Locations

7900 Triad Center Dr
Ste 250
Greensboro, NC 27409
Phone (336) 668-4558

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 OfficerCorporate Secretary 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%
Health at Home Holdings-High Point, LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Nov 1, 2021 100%
Wendy S Daigle Individual Corporate DirectorDirector, Licensure & Regulatory Oct 1, 2022
LHC Group Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Nov 1, 2021 100%
Ashley Robertson Individual W-2 Managing EmployeeAdministrator/Director of Nursing Aug 10, 2021
Joshua Lee Proffitt Individual Corporate OfficerCeo Feb 22, 2023
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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1558637504",
    "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": "7900 TRIAD CENTER DR STE 250",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274099092",
            "telephone_number": "336-668-4558",
            "fax_number": "336-668-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE SENIOR CARE HOME HEALTH OF HIGH POINT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-23",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "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": "NC",
            "license": "HC0395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SunCrest Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.