# NINE PALMS 1, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brookside Home Health, an Amedisys Company
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518912377
- **Authorized official:** JOSHUA L. PROFFITT (PRESIDENT AND CEO)
- **Authorized official phone:** (617) 639-4092

## Contact information

- **Practice address:** 5360 DISCOVERY PARK BLVD STE 200, WILLIAMSBURG, VA 23188-2860
- **Practice address phone:** (757) 253-2536
- **Practice address fax:** (757) 253-8068
- **Mailing address:** 3854 AMERICAN WAY STE A, BATON ROUGE, LA 70816-4897
- **Mailing address phone:** (225) 292-2031
- **Mailing address fax:** (225) 295-9678

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 03/20/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 004971159 | VA PRIEIMER HEALTH PLAN | VA |
| 01 | — | 004971248 | VA PRIEIMER HEALTH PLAN | VA |
| 01 | — | 1851340 | CIGNA | VA |
| 01 | — | 19649 | SENTARA HEALTH PLAN | VA |
| 01 | — | 226349 | MAMSI HEALTH PLANS | VA |
| 01 | — | 236402 | MAMSI | VA |
| 01 | — | 299072 | MAMSI HEALTH PLANS | VA |
| 01 | — | 442171 | BCBS VA ANTHEM | VA |
| 01 | — | 442173 | BCBS VA ANTHEM | VI |
| 01 | — | 442175 | BCBS VA ANTHEM | VA |
| 01 | — | 442235 | BCBS VA ANTHEM | VA |
| 05 | — | 4971264 | — | VA |
| 01 | — | 5965078 | AETNA US HEALTH CARE | VA |