NPIMap

Organization Active NPI

Amedisys Illinois. L.L.C.

Doing business as Amedisys Home Health

  • Home Health Agency
  • Lake Zurich, IL
National Provider Identifier
1861667115
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010804 Issued in IL
Legal business name
AMEDISYS ILLINOIS. L.L.C.
Doing business as
Amedisys Home Health
Practice address
765 Ela Rd
Suite 105
Lake Zurich, IL 60047-2385
Phone
(847) 438-4805
Fax
(847) 438-4870
NPI assigned
Apr 28, 2008
Last updated
Apr 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 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 and Ceo
Phone
(617) 639-4092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010804 IL Primary

Addresses

Primary practice location

765 Ela Rd
Suite 105
Lake Zurich, IL 60047-2385

Mailing address

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

Other names 1

  • Amedisys Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080414000369 IL Part A Provider - Home Health Agency 3779660816 Practice locations: Lake Zurich, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861667115. Details of each certification follow.

Home health agency certification: CCN 147407

Legal name
AMEDISYS ILLINOIS, L.L.C.
Doing business as
AMEDISYS HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 6, 1984
Last certification
Jan 29, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jan 30, 2007 in IL
Enrollment address
765 Ela Road
Suite 105
Lake Zurich, IL 60047-2339

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 147407 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Dec 6, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, 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
14D0885597Amedisys Home Health765 Ela Rd, Ste 105, Lake Zurich, IL 60047Certificate of waiverApr 25, 2028

National Provider Directory

National Provider Directory
Tax ID family
Amedisys Illinois LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

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, 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 OfficerCoo-LHC Group Apr 13, 2026
Bridget R Kaigler Individual W-2 Managing Employee Apr 15, 2022
Operational/Managerial ControlSr. Drector 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 Feb 20, 2015 100%
Joni Babineaux Individual Corporate OfficerCfo-LHC Group Apr 13, 2026
Kristina J Braud Individual W-2 Managing Employee Apr 15, 2022
Operational/Managerial ControlRegulatory Manager Apr 15, 2022
Jeanne Louise Shingleton Individual Corporate OfficerSecretary Jan 1, 2026
Amedisys Holding LLC Organization, Baton Rouge, LA LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 1, 2007 100%
Joshua Lee Proffitt Individual Corporate OfficerPresident Jan 1, 2026
June Armbruster Individual W-2 Managing EmployeeAdministrator Feb 25, 2019 100%
Operational/Managerial ControlAdminstator Feb 25, 2019 100%

Practitioners & affiliated clinicians

Affiliated clinicians 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1861667115",
    "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": "765 ELA RD",
            "address_2": "SUITE 105",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472385",
            "telephone_number": "847-438-4805",
            "fax_number": "847-438-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS ILLINOIS. L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "617-639-4092"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Zurich, IL

Sources for this page

Verify at the official NPI Registry.