Amedisys Florida, LLC
Organization Active NPI Home Health Agency · Winter Haven, FL
NPI 1982662276 · NPPES record last updated Mar 17, 2026
Key facts
- NPI
- 1982662276
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 20729096 (FL)
- Legal business name
- AMEDISYS FLORIDA, LLC
- Practice address
- 70 4TH St NW
Winter Haven, FL 33881-4667 - Phone
- (863) 680-3531
- Fax
- (863) 688-3586
- NPI assigned
- May 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Joshua L. Proffitt
- Title
- President and Ceo
- Phone
- (617) 639-4092
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 11
Affiliated clinicians 128
-
Ala Abuaita, MD
-
Chadi Alkhalil, MD
-
Jonathan Alvior, M.D.
-
Katharine Ann Buck, APRN
-
Tahir Chaudhri, MD
-
Louis H. Cohen, M.D.
-
Maria Nina Concepcion, M.D.
-
Jacqui M Dawson, D.O.
-
Mary R De Sena, M.D.
-
Leonne Moient Deravine, ARNP
-
Prashant J Desai, DO
-
Yeneneh Desta, MD
-
Fernando Diaz Mori, M.D.
Medicare Care Compare: Home health agency
- Listed as
- Amedisys Home Health
- Overall star rating
- ★★★★☆ 4 of 5
- Ownership
- Proprietary
- Certified
- Jul 1, 1977
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0645623 | Amedisys Florida, LLC | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Home health agency certification: CCN 107007
- Legal name
- AMEDISYS FLORIDA, LLC
- Doing business as
- AMEDISYS HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 1, 1977
- Last certification
- Jan 6, 2021
- Ownership / control type
- Proprietary
- Organization structure
- LLC · Proprietary
- Incorporated
- Oct 16, 2000 in FL
- Enrollment address
- 70 Fourth Street NW
Winter Haven, FL 33881-4667
All disclosed owners & managing parties 10
| Name | Role | Since | Share |
|---|---|---|---|
| Unitedhealth Group Incorporated |
5% Or Greater Indirect Ownership Interest | Aug 14, 2025 | 100% |
| Marcus Donavon Macip |
Corporate Officer |
Jan 1, 2026 | |
| Kimberly Seymour |
Corporate Officer |
Jan 1, 2026 | |
| Bridget R Kaigler |
W-2 Managing Employee | Apr 15, 2022 | |
| Operational/Managerial Control |
Apr 15, 2022 | ||
| Amedisys Inc |
5% Or Greater Indirect Ownership Interest | Feb 20, 2015 | 100% |
| Kristina J Braud |
W-2 Managing Employee | Apr 15, 2022 | |
| Operational/Managerial Control |
Apr 15, 2022 | ||
| Jeanne Louise Shingleton |
Corporate Officer |
Jan 1, 2026 | |
| Amedisys Holding LLC |
5% Or Greater Direct Ownership Interest | Oct 10, 2011 | 100% |
| Joshua Lee Proffitt |
Corporate Officer |
Jan 1, 2026 | |
| Alyscia Ramos |
W-2 Managing Employee |
Oct 28, 2017 | 100% |
| Operational/Managerial Control |
Oct 28, 2017 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050615000340 | FL | Part a Provider - Home Health Agency | 8729022264 | Practice locations: Winter Haven, FL; Valrico, FL |
National Provider Directory
- Tax ID family
- Amedisys Home Health Inc
Locations
70 4th St NW
Winter Haven, FL 33881
Phone (863) 680-3531
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 20729096 | FL | Yes |
Addresses
Primary practice location
70 4TH St NW
Winter Haven, FL 33881-4667
Mailing address
3854 American Way Ste a
Baton Rouge, LA 70816-4897
Phone (225) 292-2031
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 028156500 | Medicaid | FL |
Other names
- Amedisys Home Health
Other providers in Winter Haven, FL
- Raul Alvarez Jr.
- Hannah Alzaki
- Emilio Anthony Amador
- John C Amann
- Ambitious Quality Care Assisted Living
- American Care of North Florida, Inc
- American Care of North Florida, Inc
- Ameripath Florida LLC
- Amanda Marie Anderson
- Barbara J Anderson
All providers in Winter Haven, FL · Home Health Agency in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.