NPIMap

Organization Active NPI

Amedisys Home Health of Virginia LLC

Doing business as Amedisys Home Health

  • Home Health Agency
  • Midlothian, VA
National Provider Identifier
1669420337
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AMEDISYS HOME HEALTH OF VIRGINIA LLC
Doing business as
Amedisys Home Health
Practice address
4589 Lifestyle LN
Midlothian, VA 23112-4807
Phone
(804) 639-7903
Fax
(804) 739-4963
NPI assigned
May 5, 2006
Last updated
Mar 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 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 and Ceo
Phone
(617) 639-4092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X VA Primary

Addresses

Primary practice location

4589 Lifestyle LN
Midlothian, VA 23112-4807

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
010131049MedicaidVA

Other names 1

  • Amedisys Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041026000340 VA Part A Provider - Home Health Agency 6901867696 5 other NPIs on this enrollment
Practice locations: Crewe, VA; Fredericksburg, VA; Midlothian, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669420337. Details of each certification follow.

Home health agency certification: CCN 497538

Legal name
AMEDISYS HOME HEALTH OF VIRGINIA, LLC
Doing business as
AMEDISYS HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 15, 1997
Last certification
Jan 16, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
4589 Lifestyle LN
Midlothian, VA 23112-4807

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 5

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Amedisys Home HealthCCN 497538 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
May 15, 1997
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
49D0924507Amedisys Home Health of Virginia, LLC4589 Lifestyle Lane, Midlothian, VA 23112Certificate of waiverJan 30, 2027

National Provider Directory

National Provider Directory
Tax ID family
Amedisys Home Health13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

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, 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-LHC Group Apr 13, 2026
Bridget R Kaigler Individual Operational/Managerial ControlSr Director, Tax Apr 15, 2022
Amedisys Inc Organization, Baton Rouge, LA Corporation, Chain home office 5% Or Greater Indirect Ownership Interest Feb 13, 2012 100%
Joni Babineaux Individual Corporate OfficerCfo-LHC Group Apr 13, 2026
Kristina J Braud Individual Operational/Managerial ControlRegulatory Manager Apr 15, 2022
Jeanne Louise Shingleton Individual Corporate OfficerSecretary Jan 1, 2026
Amedisys Holding LLC Organization, Baton Rouge, LA LLC 5% Or Greater Direct Ownership Interest Jan 1, 2011
Joshua Lee Proffitt Individual Corporate OfficerPresident Jan 1, 2026

Practitioners & affiliated clinicians

Affiliated clinicians 333

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

View all 333

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773964800000",
    "number": "1669420337",
    "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": "4589 LIFESTYLE LN",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124807",
            "telephone_number": "804-639-7903",
            "fax_number": "804-739-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS HOME HEALTH OF VIRGINIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "617-639-4092"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010131049",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.