NPIMap

Organization Active NPI

Amedisys Pennsylvania, L.L.C.

Doing business as Amedisys Home Health

  • Home Health Agency
  • Lancaster, PA
National Provider Identifier
1780889402
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
740105 Issued in PA
Legal business name
AMEDISYS PENNSYLVANIA, L.L.C.
Doing business as
Amedisys Home Health
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
Last updated
May 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 740105 PA Primary

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 1

IdentifierTypeStateIssuer
1020418560001MedicaidPA

Other names 1

  • Amedisys Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070625000574 PA Part A Provider - Home Health Agency 4082713979 Practice locations: Harrisburg, PA; King of Prussia, PA; Lancaster, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780889402. Details of each certification follow.

Home health agency certification: CCN 397401C

Legal name
AMEDISYS PENNSYLVANIA LLC
Doing business as
AMEDISYS HOME HEALTH
Organization structure
LLCProprietary
Incorporated
Feb 12, 2007 in PA
Enrollment address
480 New Holland Ave
Ste 8101
Lancaster, PA 17602-2292

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Amedisys Home HealthCCN 397401
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Jun 28, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

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
39D0667993Amedisys Pennsylvania LLC480 New Holland Avenue, Lancaster, PA 17602Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Amedisys Pennsylvania LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

1018 W 9th Ave
Ste 130
King of Prussia, PA 19406
Phone (610) 619-0581

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, For-profit 5% Or Greater Indirect Ownership Interest Aug 14, 2025 100%
Marcus Donavon Macip Individual Corporate OfficerVice President Jan 1, 2026
Kimberly Seymour Individual Corporate OfficerCfo Jan 1, 2026
Bridget R Kaigler Individual W-2 Managing EmployeeSr. Director Tax Apr 15, 2022
Amedisys Inc Organization, Baton Rouge, LA Corporation, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2007 100%
Vicky Bracken Individual W-2 Managing EmployeeAdministrator May 23, 2022
Operational/Managerial ControlAdministrator May 23, 2022
Kristina J Braud Individual W-2 Managing EmployeeRegulatory Manager Apr 15, 2022
Jeanne Louise Shingleton Individual Corporate OfficerSecretary Jan 1, 2026
Amedisys Holding LLC Organization, Baton Rouge, LA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 1, 2007 100%
Joshua Lee Proffitt Individual Corporate OfficerPresident & Ceo Jan 1, 2026

Practitioners & affiliated clinicians

Affiliated clinicians 114

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

View all 114

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1780889402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3854 AMERICAN WAY STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164897",
            "telephone_number": "225-292-2031",
            "fax_number": "225-295-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 NEW HOLLAND AVE",
            "address_2": "BUILDING 8, SUITE 8101",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022291",
            "telephone_number": "717-291-8396",
            "fax_number": "717-291-6788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1018 W 9th Ave Ste 130",
            "address_purpose": "LOCATION",
            "city": "King Of Prussia",
            "state": "PA",
            "postal_code": "194061225",
            "country_code": "US",
            "telephone_number": "610-619-0581",
            "fax_number": "855-289-5962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMEDISYS PENNSYLVANIA, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "337-233-1307"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "740105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020418560001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.