Organization Active NPI

Baptist Health

Doing business as Baptist Home Health Network

  • Home Health Agency
  • Heber Springs, AR
National Provider Identifier
1033213632
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
AR4203 Issued in AR
Legal business name
BAPTIST HEALTH
Doing business as
Baptist Home Health Network
Practice address
1709 W Main St
Heber Springs, AR 72543-2835
Phone
(501) 206-0025
NPI assigned
Sep 12, 2006
Last updated
Jun 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Authorized official

Name
Mrs. Martha Fagan
Title
Director of Business Operations
Phone
(501) 202-7480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X AR4203 AR Primary

Addresses

Primary practice location

1709 W Main St
Heber Springs, AR 72543-2835

Mailing address

11001 Executive Center Dr Ste 300
Little Rock, AR 72211-4300
Phone (501) 202-7480

Other names 1

  • BAPTIST HOME HEALTH NETWORK Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100305000780 AR Part A Provider - Home Health Agency 0648177949 Practice locations: Heber Springs, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033213632. Details of each certification follow.

Home health agency certification: CCN 047097

Legal name
BAPTIST HEALTH
Doing business as
BAPTIST HEALTH HOME HEALTH - HEBER SPRINGS
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 25, 1987
Last certification
Mar 23, 2018
Ownership / control type
Proprietary
Organization structure
CorporationNon-profit
Incorporated
Oct 1, 1920 in AR
Enrollment address
1709 West Main Street
Heber Springs, AR 72543-2835

Care Compare: Home health agency

Medicare Care Compare
Listed as
Baptist Health Home Health - Heber SpringsCCN 047097 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Aug 25, 1987
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
04D1009358Baptist Health Home Health Network1709 West Main, Heber Springs, AR 72543Certificate of waiverFeb 11, 2027

National Provider Directory

National Provider Directory
Tax ID family
Greers Ferry Rural Heal59 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

Locations

1709 W Main St
Heber Springs, AR 72543
Phone (501) 206-0025

9601 Baptist Health Dr
Ofc
Little Rock, AR 72205
Phone (501) 202-1813

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Larry White Individual Corporate Director Jan 1, 2025
Baptist Health Organization, Little Rock, AR Corporation, Non-profit 5% Or Greater Direct Ownership Interest Feb 1, 2008 100%
Ronald Dedman Individual Corporate Director Jan 1, 2025
Lamarr Bailey Individual Corporate Director Jan 1, 2020
Herren Hickingbotham Individual Corporate Director Jan 8, 2001
Judy Simmons Henry Individual Corporate Director Jan 8, 2010
Michael Akin Individual Corporate Director Jan 1, 2025
Chris Brune Individual Corporate Director Jan 1, 2025
Troy Wells Individual Corporate Director Jul 1, 2014
W-2 Managing Employee Jul 1, 2014
Suzanne Peyton Individual Corporate Director Jan 1, 2025
John McMorran Individual Corporate Director Jan 1, 2026
Lindsey Lorence Individual Corporate Director Jan 1, 2025
Steven Booth Individual Corporate Director Jan 1, 2020
David Mitchell Individual Corporate Director Jan 1, 2026
James S Jones Individual Corporate Director Jan 8, 2010
Louis M Lee Individual Corporate Director Jan 1, 2026
Teresa Howell Individual Corporate Director Jan 1, 2020
Brent Beaulieu Individual Corporate Officer Jan 18, 2019
W-2 Managing Employee Jan 18, 2019
Glenn Millner Individual Corporate Director Jan 1, 2015
Les Warren Individual Corporate Director Jan 1, 2025

All facility ownership & control disclosures 50

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Baptist Health Medical Center - ArkadelphiaArkadelphia, AR, CCN 041321 Hospital Operational/Managerial Control Jan 1, 1990
Baptist Health Medical Center ArkadelphiaArkadelphia, AR, CCN 04Z321 Hospital Operational/Managerial Control Jan 1, 1990
Baptist Health Medical Center - Heber SpringsHeber Springs, AR, CCN 041312 Hospital Operational/Managerial Control Jan 1, 1990
Baptist Health Medical Center Heber SpringsHeber Springs, AR, CCN 04Z312 Hospital Operational/Managerial Control Jan 1, 1980
Baptist Health Medical Center North Little RockNorth Little Rock, AR, CCN 040036 Hospital Operational/Managerial Control Jul 1, 1966
Baptist Health Medical Center North Little RockNorth Little Rock, AR, CCN 04T036 Hospital Operational/Managerial Control Jul 1, 1966
Baptist Health Rehabilitation InstituteLittle Rock, AR, CCN 043026 Hospital Operational/Managerial Control Apr 1, 1967
Baptist Health Medical Center Little RockLittle Rock, AR, CCN 040114 Hospital Operational/Managerial Control Feb 1, 1974
Baptist Health Medical Center Little RockLittle Rock, AR, CCN 04S114 Hospital Operational/Managerial Control Jan 1, 1966
Baptist Health Extended Care Hospital - Little Rock, Inc.Little Rock, AR, CCN 042012 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2008
Baptist Health Medical Center - Hot Spring CountyMalvern, AR, CCN 040076 Hospital Operational/Managerial Control Jan 1, 2014
Baptist Health Medical Center-ConwayConway, AR, CCN 040154 Hospital Operational/Managerial Control (100%) Dec 26, 2012
Baptist Health - Fort SmithFort Smith, AR, CCN 040055 Hospital Operational/Managerial Control (100%) Nov 1, 2018
Baptist Health - Fort SmithFort Smith, AR, CCN 04S055 Hospital Operational/Managerial Control (100%) Nov 1, 2018
Baptist Health - Van BurenVan Buren, AR, CCN 040018 Hospital Operational/Managerial Control (100%) Nov 1, 2018
Baptist Health Medical Center - Hot Spring CountyMalvern, AR, CCN 04U076 Hospital Operational/Managerial Control Jan 1, 2014
Baptist Health Medical Center - ConwayConway, AR, CCN 04T154 Hospital Operational/Managerial Control (100%) Dec 26, 2012
Baptist Health Medical Center - Drew CountyMonticello, AR, CCN 040051 Hospital Operational/Managerial Control (100%) Dec 3, 2023
Baptist Health Medical Center - Drew CountyMonticello, AR, CCN 04S051 Hospital Operational/Managerial Control (100%) Dec 3, 2023
Baptist Health Medical Center - Drew CountyMonticello, AR, CCN 04U051 Hospital Operational/Managerial Control (100%) Dec 3, 2023
Baptist Health Medical Center - StuttgartStuttgart, AR, CCN 04Z337 Hospital Operational/Managerial Control Jan 1, 2009
Baptist Health Medical Center - StuttgartStuttgart, AR, CCN 041337 Hospital Operational/Managerial Control Jan 1, 2009
Baptist Health Home Health - ArkadelphiaArkadelphia, AR, CCN 047326 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Oct 26, 2010
Oct 26, 2010
Baptist Health Home Health-Little RockLittle Rock, AR, CCN 047090 Home health agency 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2016
Baptist Health Home Health Network - Drew CountyMonticello, AR, CCN 047082 Home health agency Operational/Managerial Control Dec 3, 2023
Baptist Health Hospice - Little RockLittle Rock, AR, CCN 041520 Hospice 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Jan 1, 1990
Jan 1, 1990
Baptist Health HospiceArkadelphia, AR, CCN 041554 Hospice 5% Or Greater Direct Ownership Interest
Operational/Managerial Control
Oct 26, 2010
Oct 26, 2010
Baptist Health Family Clinic - Greers FerryGreers Ferry, AR, CCN 043990 Rural health clinic Operational/Managerial Control Dec 15, 1992
Baptist Health - Family Clinic BrinkleyBrinkley, AR, CCN 043457 Rural health clinic Operational/Managerial Control Jan 1, 2009
Baptist Health - Family Clinic ClarendonClarendon, AR, CCN 043456 Rural health clinic Operational/Managerial Control Jan 1, 2009
Baptist Health - Stuttgart Medical ClinicStuttgart, AR, CCN 043480 Rural health clinic Operational/Managerial Control Jan 1, 2009
Baptist Health - Family Clinic DewittDewitt, AR, CCN 043492 Rural health clinic Operational/Managerial Control Jan 1, 2009
Baptist Health - Family Clinic HazenHazen, AR, CCN 043489 Rural health clinic Operational/Managerial Control Jan 1, 2009
Baptist Health Family Clinic - GurdonGurdon, AR, CCN 048504 Rural health clinic Operational/Managerial Control Apr 4, 2011
Baptist Health Family Clinic - Heber SpringsHeber Springs, AR, CCN 048506 Rural health clinic Operational/Managerial Control Sep 1, 2013
Baptist Health Stuttgart Campus ClinicStuttgart, AR, CCN 048505 Rural health clinic Operational/Managerial Control Jan 1, 2009
Baptist Health Family Clinic - Caddo ValleyCaddo Valley, AR, CCN 048507 Rural health clinic Operational/Managerial Control Jul 7, 2014
Baptist Health Family Clinic - BismarckBismarck, AR, CCN 048508 Rural health clinic Operational/Managerial Control Jul 7, 2014
Baptist Health Family Clinic - PrescottPrescott, AR, CCN 048511 Rural health clinic Operational/Managerial Control Oct 1, 2014
Baptist Health Heber Springs Campus ClinicHeber Springs, AR, CCN 048512 Rural health clinic Operational/Managerial Control Oct 1, 2014
BH Arkadelphia Medical ClinicArkadelphia, AR, CCN 048524 Rural health clinic Operational/Managerial Control (100%) Sep 1, 2020
Baptist Health Family Clinic - SparkmanSparkman, AR, CCN 048530 Rural health clinic Operational/Managerial Control Apr 1, 2021
Baptist Health Family Clinic - MalvernMalvern, AR, CCN 048535 Rural health clinic Operational/Managerial Control (100%) May 1, 2022
Baptist Health Family Clinic - AlmaAlma, AR, CCN 048538 Rural health clinic Operational/Managerial Control (100%) Nov 1, 2018
Baptist Health Family Clinic - SheridanSheridan, AR, CCN 048545 Rural health clinic Operational/Managerial Control (100%) Mar 15, 2024
Baptist Health Ouachita Valley Family ClinicCamden, AR, CCN 048550 Rural health clinic Operational/Managerial Control (100%) Nov 1, 2024
Baptist Health Family Clinic - LonokeLonoke, AR, CCN 048553 Rural health clinic Operational/Managerial Control (100%) May 1, 2025
Baptist Health Family Clinic - PerryvillePerryville, AR, CCN 048562 Rural health clinic Operational/Managerial Control Jul 1, 2025
Baptist Health Family Clinic - BeebeBeebe, AR, CCN 048561 Rural health clinic Operational/Managerial Control (100%) Jul 8, 2025
Baptist Health Family Clinic - RussellvilleRussellville, AR, CCN 048560 Rural health clinic Operational/Managerial Control Jul 15, 2025

Facilities with the same owner 50

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

View all 50

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.

Affiliated clinicians 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1033213632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 EXECUTIVE CENTER DR STE 300",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114300",
            "telephone_number": "501-202-7480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 W MAIN ST",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725432835",
            "telephone_number": "501-206-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "FAGAN",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "501-202-7480",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AR",
            "license": "AR4203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "BAPTIST HOME HEALTH NETWORK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Heber Springs, AR

Sources for this page

Verify at the official NPI Registry.