Amedisys SC, LLC
Organization Active NPI Home Health Agency · Camden, SC
NPI 1699733246 · NPPES record last updated Apr 6, 2026
Key facts
- NPI
- 1699733246
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- HHA-194 (SC)
- Legal business name
- AMEDISYS SC, LLC
- Practice address
- 1111 Broad St Ste 4G
Camden, SC 29020-3636 - Phone
- (803) 713-9774
- Fax
- (803) 713-9264
- NPI assigned
- May 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Joshua Proffitt
- Title
- President and Ceo
- Phone
- (617) 639-4092
Owners & managing parties with NPI records 3
Owned or controlled facilities with NPI records 7
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 6
Member organizations 8
Facilities with the same owner 7
Affiliated clinicians 156
-
Alycia Strickland Abdulla, FNP-BC
-
James H Altieri, MD
-
Mylene Mercado Antonio, APRN
-
Curtis Ray Bair, M.D.
-
Olajide A. Balogun, M.D.
-
Jason K Barber, M.D.
-
Paula L Belmar, MD
-
Erica J Berry, PA-C
-
Anne B Blake, NP
-
Audrey Lane Bowen, FNP
-
Michelle Buller, APRN
-
Binyue Chang, M.D.
-
Bryan Lee Christensen, M.D.
-
Brian P Cline, MD
-
Karen Elaine Clyburn, APRN
-
Woodrow Jenkins Coker III, MD, MSPH
Medicare Care Compare: Home health agency
- Listed as
- Amedisys Home Health of Camden
- Overall star rating
- ★★★★★ 4.5 of 5
- Ownership
- Proprietary
- Certified
- Dec 4, 1985
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D1050917 | Amedisys SC LLC Dba | Certificate of waiver | Feb 14, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Home health agency certification: CCN 427036
- Legal name
- AMEDISYS SC, LLC
- Doing business as
- AMEDISYS HOME HEALTH OF CAMDEN
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Dec 4, 1985
- Last certification
- Apr 15, 2021
- Ownership / control type
- Proprietary
- Organization structure
- LLC · Proprietary
- Incorporated
- Dec 6, 2004 in SC
- Enrollment address
- 2209 W Dekalb St
Ste 1
Camden, SC 29020-2158
All disclosed owners & managing parties 8
| Name | Role | Since | Share |
|---|---|---|---|
| Scott G Ginn |
Corporate Officer |
Apr 15, 2022 | |
| Bridget R Kaigler |
Corporate Officer |
Apr 15, 2022 | |
| W-2 Managing Employee | Apr 15, 2022 | ||
| Amedisys Inc |
5% Or Greater Indirect Ownership Interest | Feb 20, 2015 | 100% |
| Travis Miglicco |
Corporate Officer |
Apr 15, 2022 | |
| Susan Watson |
W-2 Managing Employee |
Apr 25, 2020 | 100% |
| Operational/Managerial Control |
Apr 25, 2020 | 100% | |
| Kristina J Braud |
Corporate Officer |
Apr 15, 2022 | |
| W-2 Managing Employee | Apr 15, 2022 | ||
| Amedisys SC, LLC |
5% Or Greater Direct Ownership Interest | Feb 1, 2006 | |
| Operational/Managerial Control | Feb 1, 2006 | ||
| Amedisys Holding LLC |
5% Or Greater Direct Ownership Interest | Jan 1, 2011 |
All facility ownership & control disclosures 7
| Facility | Type | Role | Since |
|---|---|---|---|
| Amedisys Home Health of Aiken |
Home health agency | 5% Or Greater Direct Ownership Interest | Feb 1, 2005 |
| Amedisys Home Health of Charleston East |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2015 |
| Amedisys Home Health of Georgetown |
Home health agency | 5% Or Greater Direct Ownership Interest (70%) | Feb 13, 2012 |
| Amedisys Home Health of Florence |
Home health agency | 5% Or Greater Direct Ownership Interest (70%) | Feb 1, 2005 |
| Amedisys Home Health of Myrtle Beach |
Home health agency | 5% Or Greater Direct Ownership Interest (70%) | Feb 14, 2012 |
| Beaufort Memorial Home Health Care, an Amedisys Partner |
Home health agency | 5% Or Greater Direct Ownership Interest (70%) Operational/Managerial Control |
Aug 1, 2022 Aug 1, 2022 |
| Amedisys Home Health of Bluffton |
Home health agency | 5% Or Greater Direct Ownership Interest (70%) | Aug 1, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171122002743 | SC | Part a Provider - Home Health Agency | 5799737383 | Practice locations: Camden, SC; Columbia, SC |
National Provider Directory
- Tax ID family
- Amedisys Home Health of Aiken
Locations
1111 Broad St
Ste 4G
Camden, SC 29020
Phone (803) 713-9774
2209 W DeKalb St
Ste 1
Camden, SC 29020
Phone (803) 713-9774
1110 Broad St
Camden, SC 29020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HHA-194 | SC | Yes |
Addresses
Primary practice location
1111 Broad St Ste 4G
Camden, SC 29020-3636
Mailing address
3854 American Way Ste a
Baton Rouge, LA 70816-4897
Phone (225) 292-2031
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA194 | Medicaid | SC |
Other names
- Amedisys Home Health of Camden
Other providers in Camden, SC
- Agape Medical Solutions LLC
- Lydia Rose Akins
- Alala LLC
- Mitchell Todd Alderson
- Alexacare LLC
- Ammons Dental by Design/Camden,LLC
- Angels Medical LLC
- Anthony J. Armstrong
- Kimberley Paula Babilon
- Cynthia Nicole Bailey
All providers in Camden, SC · Home Health Agency in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.