Amedisys Pennsylvania, L.L.C.
Organization Active NPI Home Health Agency · Lancaster, PA
NPI 1780889402 · NPPES record last updated May 12, 2026
Key facts
- NPI
- 1780889402
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 740105 (PA)
- Legal business name
- AMEDISYS PENNSYLVANIA, L.L.C.
- Practice address
- 480 New Holland Ave
Building 8, Suite 8101
Lancaster, PA 17602-2291 - Phone
- (717) 291-8396
- Fax
- (717) 291-6788
- NPI assigned
- Jun 21, 2007
- Organization subpart
- No
Authorized official
- Name
- Joshua L. Proffitt
- Title
- Ceo
- Phone
- (337) 233-1307
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 7
Member organizations 2
Affiliated clinicians 114
-
Tamara Jean Adams, M.D.
-
Ayesha S Ahmad, MD
-
Joseph Mario Andrie, M.D.
-
Ruth Ellen Atkinson, CRNP
-
Eric James Bailey, D.O.
-
Eric Allen Barr, D.O.
-
Lorin K Beidler, M.D.
-
Srinivasa Ramanujan Boora, M.D.,
-
Michael Bova, DO
-
Howard Roy Cohen, MD
-
Gary Czulada, DO
-
Jill Beth D'Amico, D.O.
-
Nirali Y Dani, MD
-
Glen Roy Daughtry, D.O.
Medicare Care Compare: Home health agency
- Listed as
- Amedisys Home Health
- Overall star rating
- ★★★★☆ 4 of 5
- Ownership
- Proprietary
- Certified
- Jun 28, 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 |
|---|---|---|---|
| 39D0667993 | Amedisys Pennsylvania LLC | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Home health agency certification: CCN 397401C
- Legal name
- AMEDISYS PENNSYLVANIA LLC
- Doing business as
- AMEDISYS HOME HEALTH
- Organization structure
- LLC · Proprietary
- Incorporated
- Feb 12, 2007 in PA
- Enrollment address
- 480 New Holland Ave
Ste 8101
Lancaster, PA 17602-2292
All disclosed owners & managing parties 10
| Name | Role | Since | Share |
|---|---|---|---|
| Unitedhealth Group Incorporated |
5% Or Greater Indirect Ownership Interest | Aug 14, 2025 | 100% |
| Marcus Donavon Macip |
Corporate Officer |
Jan 1, 2026 | |
| Kimberly Seymour |
Corporate Officer |
Jan 1, 2026 | |
| Bridget R Kaigler |
W-2 Managing Employee |
Apr 15, 2022 | |
| Amedisys Inc |
5% Or Greater Indirect Ownership Interest | Jun 1, 2007 | 100% |
| Vicky Bracken |
W-2 Managing Employee |
May 23, 2022 | |
| Operational/Managerial Control |
May 23, 2022 | ||
| Kristina J Braud |
W-2 Managing Employee |
Apr 15, 2022 | |
| Jeanne Louise Shingleton |
Corporate Officer |
Jan 1, 2026 | |
| Amedisys Holding LLC |
5% Or Greater Direct Ownership Interest | Jun 1, 2007 | 100% |
| Joshua Lee Proffitt |
Corporate Officer |
Jan 1, 2026 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070625000574 | PA | Part a Provider - Home Health Agency | 4082713979 | Practice locations: Harrisburg, PA; King of Prussia, PA; Lancaster, PA |
National Provider Directory
- Tax ID family
- Amedisys Pennsylvania LLC
Locations
480 New Holland Ave
Ste 8101
Lancaster, PA 17602
Phone (717) 291-8396
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 740105 | PA | Yes |
Addresses
Primary practice location
480 New Holland Ave
Building 8, Suite 8101
Lancaster, PA 17602-2291
Mailing address
3854 American Way Ste a
Baton Rouge, LA 70816-4897
Phone (225) 292-2031
Other practice location 1
1018 W 9th Ave Ste 130
King Of Prussia, PA 19406-1225
Phone (610) 619-0581
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1020418560001 | Medicaid | PA |
Other names
- Amedisys Home Health
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All providers in Lancaster, PA · Home Health Agency in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 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.