Pennsylvania in-Home Partner-III, LLC

Organization Active NPI Home Health Agency · Roaring Spring, PA

NPI 1699280701 · NPPES record last updated Apr 14, 2021

Key facts

NPI
1699280701
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
Legal business name
PENNSYLVANIA IN-HOME PARTNER-III, LLC
Practice address
820 E Main St
Roaring Spring, PA 16673-1324
Phone
(814) 224-6218
Fax
(814) 224-6248
NPI assigned
Dec 12, 2017
Organization subpart
No

Authorized official

Name
Mr. Nicholas Gachassin III
Title
Secretary
Phone
(337) 233-1307

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Facilities with the same owner 198

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

View all 198

Affiliated clinicians 15

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

Medicare Care Compare: Home health agency

Listed as
Nason Hospital Home Health Agency CCN 397292
Overall star rating
★★★★☆ 3.5 of 5
Ownership
Proprietary
Certified
May 7, 1985
Medicare certification status
Active (Provider of Services file)
Services
Nursing, Physical therapy, Speech pathology, Occupational therapy

Source: Medicare Care Compare.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2001833Pennsylvania in-Home Partner-III, LLC
820 E Main Street, Roaring Spring, PA 16673
Certificate of waiverJan 3, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA

Home health agency certification: CCN 397292

Legal name
PENNSYLVANIA IN-HOME PARTNER-III LLC
Doing business as
NASON HOSPITAL HOME HEALTH AGENCY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 7, 1985
Last certification
Jan 19, 2021
Ownership / control type
Proprietary
Organization structure
LLC · Proprietary
Incorporated
Nov 8, 2016 in PA
Enrollment address
820 E Main St
Roaring Spring, PA 16673-1324

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Pennsylvania in-Home Healthcare Partnership III LLC
Organization · Lafayette, LA
LLC
5% Or Greater Direct Ownership Interest Jan 1, 2020 100%
Serena Frew
Individual
W-2 Managing Employee
Administrator/Director of Nursing
Apr 23, 2023
Unitedhealth Group Incorporated
Organization · Minnetonka, MN
Corporation
5% Or Greater Indirect Ownership Interest Feb 22, 2023 80%
Home Health Partner LLC
Organization · Brentwood, TN
LLC
5% Or Greater Indirect Ownership Interest Jan 1, 2020 20%
LHCG Partner LLC
Organization · Lafayette, LA
LLC
5% Or Greater Indirect Ownership Interest Jan 1, 2020 80%
Lifepoint Hospitals Holdings LLC
Organization · Brentwood, TN
LLC
5% Or Greater Indirect Ownership Interest Jan 1, 2020 20%
Historic Lifepoint Hospitals, LLC
Organization · Brentwood, TN
LLC
5% Or Greater Indirect Ownership Interest Jan 1, 2020 20%
In-Home Healthcare Partnership LLC
Organization · Lafayette, LA
LLC
5% Or Greater Indirect Ownership Interest Jan 1, 2020 100%
Wendy S Daigle
Individual
Corporate Director
Director of Licensure & Reg Affairs
Oct 1, 2022
LHC Group Inc
Organization · Lafayette, LA
Corporation
5% Or Greater Indirect Ownership Interest Jan 1, 2020 80%
Joshua Lee Proffitt
Individual
Corporate Officer
President
Feb 22, 2023
Legacy Lifepoint Health LLC
Organization · Brentwood, TN
Corporation
5% Or Greater Indirect Ownership Interest Jan 1, 2020 20%
Amy Cormier
Individual
Corporate Director
Director, Managed Care Network
May 1, 2025

Change-of-ownership history

DateEventCounterparty
Feb 2, 2018 Change of Ownership
This provider was the buyer
Nason Home Health
CCN 397292 · PA · NPI 1104863265

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20180308000666 PA Part a Provider - Home Health Agency 1951662923 Practice locations: Roaring Spring, PA

National Provider Directory

Locations

820 E Main St
Roaring Spring, PA 16673
Phone (814) 224-5022

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Yes

Addresses

Primary practice location

820 E Main St
Roaring Spring, PA 16673-1324

Mailing address

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

Other practice location 1

108 Nason Dr
Roaring Spring, PA 16673-1202
Phone (814) 224-6218

Other identifiers

IdentifierTypeStateIssuer
39-7292OtherPAMEDICARE
1035681260001MedicaidPA

Other names

  • Nason Hospital Home Health Agency Doing business as

Other providers in Roaring Spring, PA

All providers in Roaring Spring, PA · Home Health Agency in Pennsylvania

Sources for this page

Verify at the official NPI Registry.