Amedisys Home Health of Maryland, LLC

Organization Active NPI Home Health Agency · Largo, MD

NPI 1831143908 · NPPES record last updated Nov 7, 2025

Key facts

NPI
1831143908
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
HH7149 (MD)
Legal business name
AMEDISYS HOME HEALTH OF MARYLAND, LLC
Practice address
1401 Mercantile LN Ste 351
Largo, MD 20774-4315
Phone
(301) 322-6023
Fax
(301) 322-6858
NPI assigned
May 21, 2006
Organization subpart
No

Authorized official

Name
Travis Miglicco
Title
SVP Tax
Phone
(225) 299-3803

Other NPIs with the same Medicare PAC ID 4

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

Facilities with the same owner 21

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

Affiliated clinicians 204

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

View all 204

Medicare Care Compare: Home health agency

Listed as
Amedisys Home Health Care CCN 217149
Overall star rating
★★★★★ 4.5 of 5
Ownership
Proprietary
Certified
Oct 24, 2000
Medicare certification status
Active (Provider of Services file)
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MD

Home health agency certification: CCN 217149

Legal name
TENDER LOVING CARE HEALTH CARE SERVICES SOUTHEAST, LLC
Doing business as
AMEDISYS HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 24, 2000
Last certification
Mar 25, 2021
Ownership / control type
Proprietary
Organization structure
LLC · Proprietary
Incorporated
Apr 7, 2004 in MD
Enrollment address
1401 Mercantile LN
Ste 351
Largo, MD 20774-4315

All disclosed owners & managing parties 13

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%
Dawn W Custer
Individual
W-2 Managing Employee
Ad;
Nov 8, 2024
Scott G Ginn
Individual
Corporate Officer
Cfo, Treasurer and Vice President
Apr 15, 2022
Bridget R Kaigler
Individual
W-2 Managing Employee Apr 15, 2022
Operational/Managerial Control
Sr. Director, Tax
Apr 15, 2022
TLC Health Care Services LLC
Organization · Baton Rouge, LA
5% Or Greater Direct Ownership Interest Mar 28, 2008 100%
Amedisys Inc
Organization · Baton Rouge, LA
Corporation
5% Or Greater Indirect Ownership Interest Mar 28, 2008 100%
Travis Miglicco
Individual
Corporate Officer
Senior Vice President, Tax
Apr 15, 2022
Richard M Ashworth
Individual
Corporate Officer
Ceo
Apr 10, 2023
Kristina J Braud
Individual
W-2 Managing Employee Apr 15, 2022
Operational/Managerial Control
Regulatory Manager
Apr 15, 2022
Amedisys TLC Acquisitions LLC
Organization · Baton Rouge, LA
LLC
5% Or Greater Indirect Ownership Interest Mar 28, 2008 100%
Amedisys Holding LLC
Organization · Baton Rouge, LA
LLC
5% Or Greater Indirect Ownership Interest Mar 28, 2008 100%
Jennifer Guckert-Griffin
Individual
Corporate Officer
Vice President, Secretary
Apr 1, 2022
TLC Holdings LLC
Organization · Baton Rouge, LA
LLC
5% Or Greater Indirect Ownership Interest Mar 28, 2008 100%

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040811000259 MD Part a Provider - Home Health Agency 0648242057 Practice locations: Largo, MD

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HH7149 MD Yes

Addresses

Primary practice location

1401 Mercantile LN Ste 351
Largo, MD 20774-4315

Mailing address

3854 American Way Ste a
Baton Rouge, LA 70816-4897
Phone (225) 292-2031

Other identifiers

IdentifierTypeStateIssuer
201031840018OtherMDTRICARE HEALTH NET
4046951000MedicaidMD
420716500MedicaidMD

Other names

  • Amedisys Home Health Care Doing business as

Other providers in Largo, MD

All providers in Largo, MD · Home Health Agency in Maryland

Sources for this page

Verify at the official NPI Registry.