Caretenders VS of Lincoln Trail LLC
Organization Active NPI Home Health Agency · Elizabethtown, KY
NPI 1992958250 · NPPES record last updated Sep 16, 2024
Key facts
- NPI
- 1992958250
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- CARETENDERS VS OF LINCOLN TRAIL LLC
- Practice address
- 1105 Julianna CT
Suite 3
Elizabethtown, KY 42701-7937 - Phone
- (270) 234-2273
- Fax
- (270) 234-1807
- NPI assigned
- Oct 30, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Joshua Proffitt
- Title
- President
- Phone
- (337) 233-1307
Facilities with the same owner 108
Affiliated clinicians 64
-
Ayaz Ahmed, M.D.
-
Carrie M Araneta, NP
-
Cody Bearden, MD
-
Jeffrey N Been, MD
-
Samrath Bhimani, M.D.
-
Jessica Chewning, APRN
-
Laura Kelly Chism, APRN
-
Angela Mitchell Clater, APRN
-
Ramona N Coffie, MD
-
Marcis A Craig, MD
-
Debra Faye Danzinger, ARNP
-
Tabitha Jeanne Davis, NURSE PRACTITIONER
-
Christa K. Dowell, APRN
-
Brian Eklund, MD
-
Kimberly Ray Gibson, ARNP
-
Joseph Watts Greene, M.D.
-
Bethany Alexander Haynes, M.D.
Medicare Care Compare: Home health agency
- Listed as
- Caretenders
- Overall star rating
- ★★★☆☆ 3 of 5
- Ownership
- Proprietary
- Certified
- Sep 14, 1988
- 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 |
|---|---|---|---|
| 18D1101639 | Caretenders VS of Lincoln Trail, LLC | Certificate of waiver | Jun 30, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Home health agency certification: CCN 187145
- Legal name
- CARETENDERS VS OF LINCOLN TRAIL LLC
- Doing business as
- CARETENDERS
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 14, 1988
- Last certification
- Jun 15, 2018
- Ownership / control type
- Proprietary
- Organization structure
- LLC · Proprietary
- Incorporated
- Oct 15, 2008 in KY
- Enrollment address
- 1105 Juliana Court
Suite 3
Elizabethtown, KY 42701-7937
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| Unitedhealth Group Incorporated |
5% Or Greater Indirect Ownership Interest | Feb 22, 2023 | 100% |
| Marcus Donavon Macip |
Corporate Officer |
Feb 22, 2023 | |
| Kimberly Seymour |
Corporate Officer |
Feb 22, 2023 | |
| National Health Industries, Inc. |
5% Or Greater Direct Ownership Interest | Dec 1, 2008 | 100% |
| Shantelle Sapp |
W-2 Managing Employee |
Jul 24, 2025 | |
| Wendy S Daigle |
Corporate Director |
Oct 1, 2022 | |
| LHC Group Inc |
5% Or Greater Indirect Ownership Interest | Apr 1, 2018 | 100% |
| Joshua Lee Proffitt |
Corporate Director |
Aug 1, 2012 | |
| Almost Family, Inc. |
5% Or Greater Indirect Ownership Interest | Oct 15, 2008 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090202000356 | KY | Part a Provider - Home Health Agency | 0345304655 | Practice locations: Bardstown, KY; Hardinsburg, KY; Elizabethtown, KY |
National Provider Directory
Locations
935 Chambers Blvd
Unit A
Bardstown, KY 40004
Phone (502) 849-0050
102 Manor Ave
Ste 101
Bardstown, KY 40004
Phone (502) 849-0050
1270 Old Ekron Rd
Ste C
Brandenburg, KY 40108
Phone (270) 422-1271
511 Old Highway 60
Ste 5
Hardinsburg, KY 40143
Phone (270) 422-1271
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Home Health Agency | 251E00000X | Yes | ||
| Personal Care Attendant |
3747P1801X |
Addresses
Primary practice location
1105 Julianna CT
Suite 3
Elizabethtown, KY 42701-7937
Mailing address
PO Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100115620 | Medicaid | KY | |
| 7100115630 | Other | KY | MEDICAID WAIVER |
Other names
- Caretenders
Other providers in Elizabethtown, KY
- Kate Canter
- Jillian Carden
- Tamara Sue Carder
- Allison L Cardin
- Carefirst Urgent Care Center LLC
- Casey Carey
- Joseph Benjamin Carlock
- Tammy Darlene Carman
- Bailey Lynn Carmona
- Whitney Carnell
All providers in Elizabethtown, KY · Home Health Agency in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2024. 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.