NPIMap

Organization Active NPI

Kentucky Homecare of Henderson, LLC

Doing business as Caretenders Home Health of Henderson

  • Home Health Agency
  • Henderson, KY
National Provider Identifier
1891929840
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KENTUCKY HOMECARE OF HENDERSON, LLC
Doing business as
Caretenders Home Health of Henderson
Practice address
505 Klutey Park Plaza Dr
Suite a
Henderson, KY 42420-5224
Phone
(270) 869-1997
Fax
(270) 869-1884
NPI assigned
May 6, 2009
Last updated
Jan 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Authorized official

Name
Mr. Nicholas Gachassin III
Title
Executive Vice President
Phone
(337) 233-1307

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X 150140 KY
Rehabilitation Clinic/Center 261QR0400X
Rural Health Clinic/Center 261QR1300X
Personal Care Attendant 3747P1801X
In Home Supportive Care Agency 253Z00000X 150140 KY

Addresses

Primary practice location

505 Klutey Park Plaza Dr
Suite a
Henderson, KY 42420-5224

Mailing address

PO Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307

Other names 1

  • Caretenders Home Health of Henderson Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090817000577 KY Part A Provider - Home Health Agency 2567516172 Practice locations: Henderson, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891929840. Details of each certification follow.

Home health agency certification: CCN 187136

Legal name
KENTUCKY HOMECARE OF HENDERSON, LLC
Doing business as
CARETENDERS HOME HEALTH OF HENDERSON
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 26, 1986
Last certification
Oct 3, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Apr 28, 2009 in KY
Enrollment address
505 Klutey Park Plaza Dr
# A
Henderson, KY 42420-5224

Care Compare: Home health agency

Medicare Care Compare
Listed as
Caretenders Home Health of HendersonCCN 187136 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Mar 26, 1986
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
18D0682834Kentucky Homecare of Henderson, LLC505 Klutey Park Plaza Drive, Suite a, Henderson, KY 42420Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Member of 1

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

Locations

505 Klutey Park Plaza Dr
#A
Henderson, KY 42420
Phone (270) 869-1997

Ownership & related parties

All disclosed owners & managing parties 8

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 5% Or Greater Indirect Ownership Interest Feb 22, 2023 100%
Marcus Donavon Macip Individual Corporate OfficerSecretary Feb 22, 2023
Kimberly Seymour Individual Corporate OfficerCfo/Treasurer Feb 22, 2023
Kentucky Health Care Group LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest May 1, 2021 100%
Wendy S Daigle Individual Corporate DirectorDirector, Licensure & Regulatory Oct 1, 2022
LHC Group Inc Organization, Lafayette, LA Corporation, Chain home office 5% Or Greater Indirect Ownership Interest Jun 1, 2009
Operational/Managerial Control May 25, 2009
Joshua Lee Proffitt Individual Corporate OfficerEvp/Corporate Secretary Aug 1, 2012
Erica Thompson Individual W-2 Managing EmployeeAd;Director of Nursing Apr 7, 2024

Facilities with the same owner 9

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

Practitioners & affiliated clinicians

Affiliated clinicians 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1891929840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "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": "505 KLUTEY PARK PLAZA DR",
            "address_2": "SUITE A",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424205224",
            "telephone_number": "270-869-1997",
            "fax_number": "270-869-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY HOMECARE OF HENDERSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "GACHASSIN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "KY",
            "license": "150140",
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "KY",
            "license": "150140",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caretenders Home Health of Henderson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, KY

Sources for this page

Verify at the official NPI Registry.