NPIMap

Organization Active NPI

Amedisys Missouri, L.L.C.

Doing business as Amedisys Home Health of Missouri

  • Home Health Agency
  • Poplar Bluff, MO
National Provider Identifier
1679745251
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
804-10HH Issued in MO
Legal business name
AMEDISYS MISSOURI, L.L.C.
Doing business as
Amedisys Home Health of Missouri
Practice address
2955 Kanell Blvd
Poplar Bluff, MO 63901
Phone
(573) 727-9687
Fax
(573) 727-9715
NPI assigned
Mar 24, 2008
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 804-10HH MO Primary

Addresses

Primary practice location

2955 Kanell Blvd
Poplar Bluff, MO 63901

Mailing address

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

Other names 1

  • Amedisys Home Health of Missouri Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080616000609 MO Part A Provider - Home Health Agency 4981612074 Practice locations: Poplar Bluff, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679745251. Details of each certification follow.

Home health agency certification: CCN 267151

Legal name
AMEDISYS MISSOURI, L.L.C.
Doing business as
AMEDISYS HOME HEALTH OF MISSOURI
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 19, 1983
Last certification
Jan 31, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Aug 19, 2005 in MO
Enrollment address
2955 Kanell Blvd
Poplar Bluff, MO 63901-4008

Other NPIs with the same Medicare PAC ID 4

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 Health of MissouriCCN 267151 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Aug 19, 1983
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, 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
26D0931477Amedisys Missouri, LLC2955 Kanell Boulevard, Poplar Bluff, MO 63901Certificate of waiverJul 29, 2027

National Provider Directory

National Provider Directory
Tax ID family
Amedisys Missouri LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

2955 Kanell Blvd
Poplar Bluff, MO 63901
Phone (573) 727-9687

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 Employee Apr 15, 2022
Operational/Managerial ControlSr. Director, Tax Apr 15, 2022
Amedisys Inc Organization, Baton Rouge, LA Corporation 5% Or Greater Indirect Ownership Interest Jun 1, 2008 100%
Joni Babineaux Individual Corporate OfficerCfo Apr 13, 2026
Kristina J Braud Individual W-2 Managing Employee Apr 15, 2022
Operational/Managerial ControlRegulatory Manager Apr 15, 2022
Brandy Cannady Individual W-2 Managing EmployeeAd; Feb 28, 2026
Jeanne Louise Shingleton Individual Corporate OfficerSecretary Jan 1, 2026
Amedisys Holding LLC Organization, Baton Rouge, LA LLC 5% Or Greater Direct Ownership Interest Jun 1, 2008 100%
Joshua Lee Proffitt Individual Corporate OfficerPresident Jan 1, 2026

Practitioners & affiliated clinicians

Affiliated clinicians 43

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

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773964800000",
    "number": "1679745251",
    "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": "2955 KANELL BLVD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "63901",
            "telephone_number": "573-727-9687",
            "fax_number": "573-727-9715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS MISSOURI, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "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": "MO",
            "license": "804-10HH",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home Health of Missouri",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Amedisys Home Health of Missouri",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poplar Bluff, MO

Sources for this page

Verify at the official NPI Registry.