Baptist Health
Organization Active NPI Home Health Agency · Heber Springs, AR
NPI 1033213632 · NPPES record last updated Jun 17, 2024
Key facts
- NPI
- 1033213632
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- AR4203 (AR)
- Legal business name
- BAPTIST HEALTH
- Practice address
- 1709 W Main St
Heber Springs, AR 72543-2835 - Phone
- (501) 206-0025
- NPI assigned
- Sep 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Martha Fagan
- Title
- Director of Business Operations
- Phone
- (501) 202-7480
Corporate family (same tax ID) 15
Facilities with the same owner 50
Practitioners 1
-
Michael Parker Inman, PH.D.
Affiliated clinicians 15
-
Jose Abiseid, M.D.
-
Justin Allen, MD
-
Franklin G Bivins Jr., M.D.
-
Ryan P Buffalo, M.D.
-
Jennifer J Faith, MD
-
Latrina Maez, NP-C
-
Jamie Charlotte Pinto, M.D.
-
Jan C Sharp, M. D.
-
Shannon Lee Shearer, APRN
-
Reid M Thomas, MD
-
Henry C. Wallace, M.D.
-
Aimee Elizabeth Widner, M.D.
-
Jimmy Lee Womack Jr., APRN FNP-C
Medicare Care Compare: Home health agency
- Listed as
- Baptist Health Home Health - Heber Springs
- Overall star rating
- ★★★☆☆ 3 of 5
- Ownership
- Proprietary
- Certified
- Aug 25, 1987
- 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 |
|---|---|---|---|
| 04D1009358 | Baptist Health Home Health Network | Certificate of waiver | Feb 11, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
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
- Corporation · Non-profit
- Incorporated
- Oct 1, 1920 in AR
- Enrollment address
- 1709 West Main Street
Heber Springs, AR 72543-2835
All disclosed owners & managing parties 20
| Name | Role | Since | Share |
|---|---|---|---|
| Larry White |
Corporate Director | Jan 1, 2025 | |
| Baptist Health |
5% Or Greater Direct Ownership Interest | Feb 1, 2008 | 100% |
| Ronald Dedman |
Corporate Director | Jan 1, 2025 | |
| Lamarr Bailey |
Corporate Director | Jan 1, 2020 | |
| Herren Hickingbotham |
Corporate Director | Jan 8, 2001 | |
| Judy Simmons Henry |
Corporate Director | Jan 8, 2010 | |
| Michael Akin |
Corporate Director | Jan 1, 2025 | |
| Chris Brune |
Corporate Director | Jan 1, 2025 | |
| Troy Wells |
Corporate Director | Jul 1, 2014 | |
| W-2 Managing Employee | Jul 1, 2014 | ||
| Suzanne Peyton |
Corporate Director | Jan 1, 2025 | |
| John McMorran |
Corporate Director | Jan 1, 2026 | |
| Lindsey Lorence |
Corporate Director | Jan 1, 2025 | |
| Steven Booth |
Corporate Director | Jan 1, 2020 | |
| David Mitchell |
Corporate Director | Jan 1, 2026 | |
| James S Jones |
Corporate Director | Jan 8, 2010 | |
| Louis M Lee |
Corporate Director | Jan 1, 2026 | |
| Teresa Howell |
Corporate Director | Jan 1, 2020 | |
| Brent Beaulieu |
Corporate Officer | Jan 18, 2019 | |
| W-2 Managing Employee | Jan 18, 2019 | ||
| Glenn Millner |
Corporate Director | Jan 1, 2015 | |
| Les Warren |
Corporate Director | Jan 1, 2025 |
All facility ownership & control disclosures 50
| Facility | Type | Role | Since |
|---|---|---|---|
| Baptist Health Medical Center - Arkadelphia |
Hospital | Operational/Managerial Control | Jan 1, 1990 |
| Baptist Health Medical Center Arkadelphia |
Hospital | Operational/Managerial Control | Jan 1, 1990 |
| Baptist Health Medical Center - Heber Springs |
Hospital | Operational/Managerial Control | Jan 1, 1990 |
| Baptist Health Medical Center Heber Springs |
Hospital | Operational/Managerial Control | Jan 1, 1980 |
| Baptist Health Medical Center North Little Rock |
Hospital | Operational/Managerial Control | Jul 1, 1966 |
| Baptist Health Medical Center North Little Rock |
Hospital | Operational/Managerial Control | Jul 1, 1966 |
| Baptist Health Rehabilitation Institute |
Hospital | Operational/Managerial Control | Apr 1, 1967 |
| Baptist Health Medical Center Little Rock |
Hospital | Operational/Managerial Control | Feb 1, 1974 |
| Baptist Health Medical Center Little Rock |
Hospital | Operational/Managerial Control | Jan 1, 1966 |
| Baptist Health Extended Care Hospital - Little Rock, Inc. |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2008 |
| Baptist Health Medical Center - Hot Spring County |
Hospital | Operational/Managerial Control | Jan 1, 2014 |
| Baptist Health Medical Center-Conway |
Hospital | Operational/Managerial Control (100%) | Dec 26, 2012 |
| Baptist Health - Fort Smith |
Hospital | Operational/Managerial Control (100%) | Nov 1, 2018 |
| Baptist Health - Fort Smith |
Hospital | Operational/Managerial Control (100%) | Nov 1, 2018 |
| Baptist Health - Van Buren |
Hospital | Operational/Managerial Control (100%) | Nov 1, 2018 |
| Baptist Health Medical Center - Hot Spring County |
Hospital | Operational/Managerial Control | Jan 1, 2014 |
| Baptist Health Medical Center - Conway |
Hospital | Operational/Managerial Control (100%) | Dec 26, 2012 |
| Baptist Health Medical Center - Drew County |
Hospital | Operational/Managerial Control (100%) | Dec 3, 2023 |
| Baptist Health Medical Center - Drew County |
Hospital | Operational/Managerial Control (100%) | Dec 3, 2023 |
| Baptist Health Medical Center - Drew County |
Hospital | Operational/Managerial Control (100%) | Dec 3, 2023 |
| Baptist Health Medical Center - Stuttgart |
Hospital | Operational/Managerial Control | Jan 1, 2009 |
| Baptist Health Medical Center - Stuttgart |
Hospital | Operational/Managerial Control | Jan 1, 2009 |
| Baptist Health Home Health - Arkadelphia |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Oct 26, 2010 Oct 26, 2010 |
| Baptist Health Home Health-Little Rock |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2016 |
| Baptist Health Home Health Network - Drew County |
Home health agency | Operational/Managerial Control | Dec 3, 2023 |
| Baptist Health Hospice - Little Rock |
Hospice | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 1990 Jan 1, 1990 |
| Baptist Health Hospice |
Hospice | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Oct 26, 2010 Oct 26, 2010 |
| Baptist Health Family Clinic - Greers Ferry |
Rural health clinic | Operational/Managerial Control | Dec 15, 1992 |
| Baptist Health - Family Clinic Brinkley |
Rural health clinic | Operational/Managerial Control | Jan 1, 2009 |
| Baptist Health - Family Clinic Clarendon |
Rural health clinic | Operational/Managerial Control | Jan 1, 2009 |
| Baptist Health - Stuttgart Medical Clinic |
Rural health clinic | Operational/Managerial Control | Jan 1, 2009 |
| Baptist Health - Family Clinic Dewitt |
Rural health clinic | Operational/Managerial Control | Jan 1, 2009 |
| Baptist Health - Family Clinic Hazen |
Rural health clinic | Operational/Managerial Control | Jan 1, 2009 |
| Baptist Health Family Clinic - Gurdon |
Rural health clinic | Operational/Managerial Control | Apr 4, 2011 |
| Baptist Health Family Clinic - Heber Springs |
Rural health clinic | Operational/Managerial Control | Sep 1, 2013 |
| Baptist Health Stuttgart Campus Clinic |
Rural health clinic | Operational/Managerial Control | Jan 1, 2009 |
| Baptist Health Family Clinic - Caddo Valley |
Rural health clinic | Operational/Managerial Control | Jul 7, 2014 |
| Baptist Health Family Clinic - Bismarck |
Rural health clinic | Operational/Managerial Control | Jul 7, 2014 |
| Baptist Health Family Clinic - Prescott |
Rural health clinic | Operational/Managerial Control | Oct 1, 2014 |
| Baptist Health Heber Springs Campus Clinic |
Rural health clinic | Operational/Managerial Control | Oct 1, 2014 |
| BH Arkadelphia Medical Clinic |
Rural health clinic | Operational/Managerial Control (100%) | Sep 1, 2020 |
| Baptist Health Family Clinic - Sparkman |
Rural health clinic | Operational/Managerial Control | Apr 1, 2021 |
| Baptist Health Family Clinic - Malvern |
Rural health clinic | Operational/Managerial Control (100%) | May 1, 2022 |
| Baptist Health Family Clinic - Alma |
Rural health clinic | Operational/Managerial Control (100%) | Nov 1, 2018 |
| Baptist Health Family Clinic - Sheridan |
Rural health clinic | Operational/Managerial Control (100%) | Mar 15, 2024 |
| Baptist Health Ouachita Valley Family Clinic |
Rural health clinic | Operational/Managerial Control (100%) | Nov 1, 2024 |
| Baptist Health Family Clinic - Lonoke |
Rural health clinic | Operational/Managerial Control (100%) | May 1, 2025 |
| Baptist Health Family Clinic - Perryville |
Rural health clinic | Operational/Managerial Control | Jul 1, 2025 |
| Baptist Health Family Clinic - Beebe |
Rural health clinic | Operational/Managerial Control (100%) | Jul 8, 2025 |
| Baptist Health Family Clinic - Russellville |
Rural health clinic | Operational/Managerial Control | Jul 15, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100305000780 | AR | Part a Provider - Home Health Agency | 0648177949 | Practice locations: Heber Springs, AR |
National Provider Directory
- Tax ID family
- Baptist Health Fam Clinic
Locations
11900 Colonel Glenn Rd
Ste 2000
Little Rock, AR 72210
Phone (501) 202-7474
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | AR4203 | AR | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17097 | Other | AR | BCBS PROVIDER NUMBER |
| 130611514 | Medicaid | AR |
Other names
- BAPTIST HOME HEALTH NETWORK
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in Heber Springs, AR
- Arkansas Health Group
- Wesley J Ashabranner
- Attention Diabetics, Inc
- Kelly J Ayers
- Ashley N Bane
- Baptist Health
- Baptist Health
- Baptist Health
- Baptist Health
- Baptist Health
All providers in Heber Springs, AR · Home Health Agency in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 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.