NPIMap

Organization Active NPI

Chester River Home Care and Hospice

Doing business as VNA of Maryland - Chestertown

  • Home Health Agency
  • Chestertown, MD
National Provider Identifier
1710925375
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HH7142 Issued in MD
Legal business name
CHESTER RIVER HOME CARE AND HOSPICE
Doing business as
VNA of Maryland - Chestertown
Practice address
103 Brown St
Chestertown, MD 21620-1440
Phone
(410) 778-1049
Fax
(410) 778-7399
NPI assigned
Jun 3, 2006
Last updated
Dec 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Joshua L. Proffitt
Title
President
Phone
(337) 233-1307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HH7142 MD Primary

Addresses

Primary practice location

103 Brown St
Chestertown, MD 21620-1440

Mailing address

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

Other identifiers 4

IdentifierTypeStateIssuer
891601200MedicaidMD
008900100MedicaidMD
982300000MedicaidMD
104500803MedicaidMD

Other names 1

  • VNA of Maryland - Chestertown Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100421000482 MD Part A Provider - Home Health Agency 1658408729 Practice locations: Chestertown, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710925375. Details of each certification follow.

Home health agency certification: CCN 217142

Legal name
CHESTER RIVER HOME CARE AND HOSPICE
Doing business as
VNA OF MARYLAND - CHESTERTOWN
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 1, 1997
Last certification
Jan 11, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Dec 19, 1996 in MD
Enrollment address
103 Brown St
Chestertown, MD 21620-1440

Care Compare: Home health agency

Medicare Care Compare
Listed as
Vna of Maryland- ChestertownCCN 217142 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Feb 1, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, 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
21D2281572Chestertown River Home Care & Hospice LLC103 Brown Street, Chestertown, MD 21620Certificate of waiverMay 8, 2027

National Provider Directory

National Provider Directory
Tax ID family
Chester River Home Care and Hospice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

103 Brown St
Chestertown, MD 21620
Phone (410) 778-1049

Ownership & related parties

All disclosed owners & managing parties 12

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 70%
Maryland Intermediary-IV, LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Nov 1, 2022 100%
Marcus Donavon Macip Individual Corporate OfficerSecretary Feb 22, 2023
Kimberly Seymour Individual Corporate OfficerCfo / Treasurer Feb 22, 2023
Maryland Health Care Group, LLC Organization, Lafayette, LA LLC 5% Or Greater Indirect Ownership Interest Nov 1, 2022 70%
Maryland Healthcare Partnership LLC Organization, Lafayette, LA LLC 5% Or Greater Indirect Ownership Interest Nov 1, 2022 100%
Kathryn Davis Individual W-2 Managing EmployeeAdminsitrator/Director of Nursing Jan 29, 2023
Wendy S Daigle Individual Corporate DirectorDirector, Licensure & Regulatory Oct 1, 2022
LHC Group Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Nov 1, 2022 70%
Joshua Lee Proffitt Individual Corporate OfficerPresident Nov 1, 2022
Amy Cormier Individual Corporate DirectorDirector, Managed Care Network May 1, 2025
Um Post Acute Care LLC Organization, Baltimore, MD LLC 5% Or Greater Indirect Ownership Interest Nov 1, 2022 30%

Facilities with the same owner 6

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

  • Homecall, LLC

    dba HomeCall

    • Home Health Agency
    • Westminster, MD
    • NPI 1053406181

    Maryland Health Care Group, LLC

    CMS ownership
  • Homecall, LLC

    dba HomeCall

    • Home Health Agency
    • Easton, MD
    • NPI 1700971843

    Maryland Health Care Group, LLC

    CMS ownership
  • Homecall, LLC

    dba HomeCall

    • Home Health Agency
    • Frederick, MD
    • NPI 1790870350

    Maryland Health Care Group, LLC

    CMS ownership
  • LHCG Ccxxiv, LLC
    • Home Health Agency
    • Baltimore, MD
    • NPI 1508584533

    Maryland Health Care Group, LLC, Maryland Healthcare Partnership LLC, Um Post Acute Care LLC

    CMS ownership
  • LHCG Ccxxv, LLC

    dba VNA of Maryland- Easton

    • Home Health Agency
    • Easton, MD
    • NPI 1912625989

    Maryland Health Care Group, LLC, Maryland Healthcare Partnership LLC, Um Post Acute Care LLC

    CMS ownership
  • LHCG Cxlix, LLC

    dba VNA of Maryland

    • Home Health Agency
    • Owings Mills, MD
    • NPI 1215597877

    Maryland Health Care Group, LLC, Maryland Healthcare Partnership LLC, Um Post Acute Care LLC

    CMS ownership

Practitioners & affiliated clinicians

Affiliated clinicians 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1710925375",
    "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": "103 BROWN ST",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201440",
            "telephone_number": "410-778-1049",
            "fax_number": "410-778-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTER RIVER HOME CARE AND HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "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",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "HH7142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891601200",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008900100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "982300000",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104500803",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VNA of Maryland - Chestertown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chestertown, MD

Sources for this page

Verify at the official NPI Registry.