NPIMap

Organization Active NPI

Elk Valley Health Services, LLC

  • Home Health Agency
  • Nashville, TN
National Provider Identifier
1972698025
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
00000042 Issued in TN
Legal business name
ELK VALLEY HEALTH SERVICES, LLC
Practice address
1645 Murfreesboro Pike Ste J
Nashville, TN 37217-2936
Phone
(615) 360-1116
Fax
(615) 360-7895
NPI assigned
Oct 4, 2006
Last updated
Oct 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 00000042 TN Primary

Addresses

Primary practice location

1645 Murfreesboro Pike Ste J
Nashville, TN 37217-2936

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
0445965MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200506003028 TN Part A Provider - Home Health Agency 4587095575 Practice locations: Nashville, TN; Murfreesboro, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972698025. Details of each certification follow.

Home health agency certification: CCN 447823

Legal name
ELK VALLEY HEALTH SERVICES, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 24, 2021
Last certification
Feb 24, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jun 27, 1984 in TN
Enrollment address
1645 Murfreesboro Pike
Ste J
Nashville, TN 37217-2936

Care Compare: Home health agency

Medicare Care Compare
Listed as
Elk Valley Health Services, LLCCCN 447823 · All quality measures
Ownership
Proprietary
Certified
Feb 24, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing

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
44D0948791Elk Valley Health Services LLC1645 Murfreesboro Pike, Suite J, Nashville, TN 37217Certificate of waiverJul 19, 2028

National Provider Directory

National Provider Directory

Locations

1645 Murfreesboro Pike
Ste J
Nashville, TN 37217
Phone (615) 360-1116

Ownership & related parties

All disclosed owners & managing parties 10

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 OfficerCorporate Secretary Feb 22, 2023
Kimberly Seymour Individual Corporate OfficerTreasurer Feb 22, 2023
Elk Valley Professional Affiliates Inc Organization, Lafayette, LA Corporation 5% Or Greater Direct Ownership Interest Mar 1, 2020 100%
Juanita Almy Individual W-2 Managing EmployeeAd;Director of Nursing Jan 25, 2023
Tennessee Health Care Group LLC Organization, Lafayette, LA LLC 5% Or Greater Indirect Ownership Interest Mar 1, 2020 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 Mar 1, 2020 100%
Joshua Lee Proffitt Individual Corporate OfficerPresident Mar 1, 2020
Amy Cormier Individual Corporate DirectorDirector of Managed Care May 1, 2025

Owners & managing parties with NPI records 1

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

Facilities with the same owner 46

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

View all 46

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633651200000",
    "number": "1972698025",
    "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": "1645 MURFREESBORO PIKE STE J",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372172936",
            "telephone_number": "615-360-1116",
            "fax_number": "615-360-7895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELK VALLEY HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": "00000042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445965",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.