NPIMap

Organization Active NPI

Health at Home Hospice- Dayton, LLC

  • Community Based Hospice Care Agency
  • Moraine, OH
National Provider Identifier
1710554647
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HEALTH AT HOME HOSPICE- DAYTON, LLC
Practice address
2621 Dryden Rd Ste 204
Moraine, OH 45439-1600
Phone
(937) 429-3677
Fax
(937) 429-3679
NPI assigned
Jun 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 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
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

2621 Dryden Rd Ste 204
Moraine, OH 45439-1600

Mailing address

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

Other names 1

  • Caretenders Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210930003143 OH Part A Provider - Hospice 9436556610 Practice locations: Moraine, OH

Hospice certification: CCN 361672

Legal name
HEALTH AT HOME HOSPICE- DAYTON LLC
Doing business as
CARETENDERS HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 6, 2013
Last certification
Apr 13, 2016
Ownership / control type
Proprietary - Partnership
Organization structure
LLCProprietary
Incorporated
Jun 18, 2021 in DE
Enrollment address
2621 Dryden Rd
Ste 204
Moraine, OH 45439-1600

Care Compare: Hospice

Medicare Care Compare
Listed as
Caretenders HospiceCCN 361672
Ownership
For-Profit
Certified
May 6, 2013
Medicare certification status
ActiveFrom the Provider of Services file

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
36D2048928Health at Home Hospice-Dayton, LLC2621 Dryden Rd, Ste 204, Moraine, OH 45439Certificate of waiverOct 24, 2026

National Provider Directory

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 5% Or Greater Indirect Ownership Interest Feb 22, 2023 10%
Marcus Donavon Macip Individual Corporate OfficerCorporate Secretray Feb 22, 2023
Kimberly Seymour Individual Corporate OfficerCfo/Treasurer Feb 22, 2023
Health at Home Holdings LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Jul 1, 2021 100%
Stephen M Canowitz Individual Contracted Managing EmployeeMD; Jan 1, 2024
Other Jan 1, 2024
Tennessee Health Care Group LLC Organization, Lafayette, LA LLC 5% Or Greater Indirect Ownership Interest Nov 1, 2021 100%
LHC Group Inc Organization, Lafayette, LA Corporation, Chain home office 5% Or Greater Indirect Ownership Interest Nov 1, 2021 100%
Joshua Lee Proffitt Individual Corporate OfficerPresident Nov 1, 2021
Kaitlyn Brenner Individual W-2 Managing EmployeeAd; Apr 23, 2025
Amy Cormier Individual Corporate DirectorDirector of Managed Care May 1, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 46

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

View all 46

Change-of-ownership history 1

DateEventCounterparty
Jun 22, 2021 Change of OwnershipThis provider was the buyer Brookdale Hospice DaytonCCN 361672, OH, NPI 1396097986

Change of ownership 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1710554647",
    "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": "2621 DRYDEN RD STE 204",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391600",
            "telephone_number": "937-429-3677",
            "fax_number": "937-429-3679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH AT HOME HOSPICE- DAYTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-09",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "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": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caretenders Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moraine, OH

Sources for this page

Verify at the official NPI Registry.