NPIMap

Organization Active NPI

Patient Care Medical Services, Inc.

  • Home Health Agency
  • West Orange, NJ
National Provider Identifier
1922089929
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
70705 Issued in NJ
Legal business name
PATIENT CARE MEDICAL SERVICES, INC.
Practice address
300 Executive Dr Ste 10
West Orange, NJ 07052-3310
Phone
(973) 243-6299
Fax
(973) 419-6004
NPI assigned
Nov 8, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 70705 NJ Primary

Addresses

Primary practice location

300 Executive Dr Ste 10
West Orange, NJ 07052-3310

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
3691101MedicaidNJ

Other names 1

  • Patient Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040406001464 NJ Part A Provider - Home Health Agency 8224021134 Practice locations: West Orange, NJ; Nutley, NJ

Home health agency certification: CCN 317060

Legal name
PATIENT CARE MEDICAL SERVICES, INC.
Doing business as
PATIENT CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 1, 1978
Last certification
Oct 17, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Oct 15, 1976 in NJ
Enrollment address
300 Executive Dr
Ste 10
West Orange, NJ 07052-3310

Care Compare: Home health agency

Medicare Care Compare
Listed as
Patient CareCCN 317060
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Mar 1, 1978
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
31D0959655Patient Care Medical Services, Inc300 Executive Drive, West Orange, NJ 07052Certificate of waiverApr 15, 2027

National Provider Directory

National Provider Directory

Locations

300 Executive Dr
Ste 175
West Orange, NJ 07052

10 Rooney Cir
Ste 50
West Orange, NJ 07052
Phone (973) 325-3040

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 5% Or Greater Indirect Ownership Interest Feb 22, 2023 100%
Afam Acquisition LLC Organization, Lafayette, LA LLC, For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2018 100%
Marcus Donavon Macip Individual Corporate OfficerSecretary Feb 22, 2023
Patient Care, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Direct Ownership Interest Aug 1, 2008 100%
Kimberly Seymour Individual Corporate OfficerTreasurer Feb 22, 2023
Wendy S Daigle Individual Corporate DirectorDirector, Licensure & Regulatory Oct 1, 2022
W-2 Managing Employee Oct 1, 2022
LHC Group Inc Organization, Lafayette, LA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Apr 1, 2018 100%
Joshua Lee Proffitt Individual Corporate OfficerPresident Apr 30, 2018
Almost Family, Inc. Organization, Lafayette, LA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2008 100%
Vanetta Mitchell Individual W-2 Managing EmployeeAd; Jun 3, 2025
Amy Cormier Individual Corporate DirectorDirector, Managed Care Network May 1, 2025
W-2 Managing Employee May 1, 2025

Facilities with the same owner 108

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

View all 108

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 117

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

View all 117

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1922089929",
    "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": "337-443-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 EXECUTIVE DR STE 10",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523310",
            "telephone_number": "973-243-6299",
            "fax_number": "973-419-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT CARE MEDICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-08",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "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"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "70705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3691101",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patient Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Patient Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.