NPIMap

Organization Active NPI

Omni Home Health District 4, LLC

Doing business as Apex Home Healthcare

  • Home Health Agency
  • Jacksonville, FL
National Provider Identifier
1720060601
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299991765 Issued in FL
Legal business name
OMNI HOME HEALTH DISTRICT 4, LLC
Doing business as
Apex Home Healthcare
St. Vincent's Home Health
Practice address
751 Oak Street, Suite 410
Jacksonville, FL 32204-3375
Phone
(904) 389-7385
Fax
(904) 389-7359
NPI assigned
Nov 16, 2005
Last updated
Jul 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 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
Phone
(337) 233-1307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299991765 FL Primary

Addresses

Primary practice location

751 Oak Street, Suite 410
Jacksonville, FL 32204-3375

Mailing address

901 Hugh Wallis Rd S
Lafayette, LA 70508-2511
Phone (337) 233-1307

Other names 2

  • Apex Home Healthcare Doing business as
  • St. Vincent's Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050207000853 FL Part A Provider - Home Health Agency 5991756959 Practice locations: Jacksonville, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720060601. Details of each certification follow.

Home health agency certification: CCN 108215

Legal name
OMNI HOME HEALTH- DISTRICT 4, LLC
Doing business as
APEX HOME HEALTHCARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 28, 2005
Last certification
Feb 24, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Apr 8, 2013 in FL
Enrollment address
2651 Park Street
Jacksonville, FL 32204-4519

Care Compare: Home health agency

Medicare Care Compare
Listed as
Apex Home HealthcareCCN 108215 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Sep 28, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1522 Oak St
Ste 200
Jacksonville, FL 32204
Phone (904) 355-0311

2651 Park St
Jacksonville, FL 32204
Phone (904) 387-2448

751 Oak St
Ste 410
Jacksonville, FL 32204
Phone (904) 634-7919

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 5% Or Greater Indirect Ownership Interest Feb 22, 2023 100%
Marcus Donavon Macip Individual Corporate OfficerCorporate Secretary Feb 22, 2023
Kimberly Seymour Individual Corporate OfficerCfo/Treasurer Feb 22, 2023
Omni Home Health Services LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest May 1, 2021 100%
Omni Home Health Holdings Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest May 1, 2021 100%
Randeana Shiffler Individual W-2 Managing EmployeeAd;Alternate Director of Nursing Oct 16, 2023
Cyndi Korak Individual W-2 Managing EmployeeDirector of Nursing/Alternate Admin Sep 19, 2023
LHC Group Inc Organization, Lafayette, LA Corporation, Chain home office 5% Or Greater Indirect Ownership Interest May 1, 2021 100%
Operational/Managerial Control Apr 1, 2018
Joshua Lee Proffitt Individual Corporate OfficerPresident Apr 1, 2018
Almost Family, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest May 1, 2021 100%
National Health Industries, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest May 1, 2021 100%

Facilities with the same owner 111

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

View all 111

Practitioners & affiliated clinicians

Affiliated clinicians 9

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": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1720060601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 HUGH WALLIS RD S",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705082511",
            "telephone_number": "337-233-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 OAK STREET, SUITE 410",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322043375",
            "telephone_number": "904-389-7385",
            "fax_number": "904-389-7359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI HOME HEALTH DISTRICT 4, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "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"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299991765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apex Home Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Vincent's Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.