Organization Active NPI

Fayette Medical Center Homecare, LLC

  • Home Health Agency
  • Fayette, AL
National Provider Identifier
1821241613
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FAYETTE MEDICAL CENTER HOMECARE, LLC
Practice address
102 2ND Ave SE
Fayette, AL 35555-2717
Phone
(205) 932-5961
Fax
(205) 932-8054
NPI assigned
Oct 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

102 2ND Ave SE
Fayette, AL 35555-2717

Mailing address

102 2ND Ave SE
Fayette, AL 35555-2717
Phone (337) 233-1307

Other identifiers 1

IdentifierTypeStateIssuer
115614MedicaidAL

Other names 1

  • Adoration Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090227000152 AL Part A Provider - Home Health Agency 1355407396 Practice locations: Fayette, AL

Home health agency certification: CCN 017088

Legal name
FAYETTE MEDICAL CENTER HOMECARE, LLC
Doing business as
FAYETTE MEDICAL CENTER HOMECARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 18, 1991
Last certification
Jun 25, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
102 2ND Ave SE
Fayette, AL 35555-2717

Care Compare: Home health agency

Medicare Care Compare
Listed as
Fayette Medical Center HomecareCCN 017088
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Dec 18, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, 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
01D1092362Fayette Medical Center Homecare102 2ND Avenue SE, Fayette, AL 35555Certificate of waiverNov 20, 2026

National Provider Directory

National Provider Directory

Member of 1

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

Locations

102 2nd Ave SE
Fayette, AL 35555
Phone (205) 932-5961

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Adoration Home Health Acquisitions, LLC Organization, Louisville, KY Created for acquisition, LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 1, 2025 67%
Jennifer Phipps Individual Corporate Officer Dec 1, 2025
Corporate Director Dec 1, 2025
Adoration Home Health & Hospice Inc Organization, Louisville, KY Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2025 67%
Allison Brown Individual Corporate Officer Dec 1, 2025
Corporate Director Dec 1, 2025
Margaret Sherry Pemberton Individual Corporate Officer Dec 1, 2025
Corporate Director Dec 1, 2025
Krystal Y Haley Individual W-2 Managing EmployeeAdministrator / Director of Nursing Jul 21, 2014
Operational/Managerial ControlAdministrator / Director of Nursing Jul 21, 2014
Phoenix Guarantor Inc. Organization, Louisville, KY Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2025 67%
Res-Care Inc Organization, Louisville, KY Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2025 67%
Phoenix Intermediate Holdings Inc. Organization, Louisville, KY Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2025 67%
LHC Group Inc Organization, Lafayette, LA Corporation Operational/Managerial Control Nov 1, 2008
Elizabeth Robinson Individual Corporate Officer Dec 1, 2025
Corporate Director Dec 1, 2025
Brightspring Health Services Inc Organization, Louisville, KY Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 1, 2025 67%
Adoration Home Health Care LLC Organization, Louisville, KY LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2025 67%
Brightspring Health Holdings Corp. Organization, Louisville, KY Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2025 67%
Fayette Medical Center Organization, Fayette, AL Corporation 5% Or Greater Direct Ownership Interest Nov 1, 2008 33%
Rescare Holdings Inc Organization, Louisville, KY Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2025 67%

Owners & managing parties with NPI records 3

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

Facilities with the same owner 150

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

View all 150

Affiliated clinicians 10

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": "1224806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1821241613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 2ND AVE SE",
            "city": "FAYETTE",
            "state": "AL",
            "postal_code": "355552717",
            "telephone_number": "337-233-1307",
            "fax_number": "337-233-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 2ND AVE SE",
            "city": "FAYETTE",
            "state": "AL",
            "postal_code": "355552717",
            "telephone_number": "205-932-5961",
            "fax_number": "205-932-8054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTE MEDICAL CENTER HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-24",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "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": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115614",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adoration Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayette, AL

Sources for this page

Verify at the official NPI Registry.