NPIMap

Organization Active NPI

LHCG Xlii, LLC

Doing business as Elite Home Health

  • Home Health Agency
  • Springdale, AR
National Provider Identifier
1043557788
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LHCG XLII, LLC
Doing business as
Elite Home Health
Practice address
4847 Kaylee Ave Ste B
Springdale, AR 72762-0872
Phone
(479) 756-5002
Fax
(479) 756-5504
NPI assigned
Jan 15, 2013
Last updated
Feb 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Authorized official

Name
Joshua L Proffitt
Title
President
Phone
(337) 233-1307

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X AR

Addresses

Primary practice location

4847 Kaylee Ave Ste B
Springdale, AR 72762-0872

Mailing address

PO Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307

Other names 1

  • Elite Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130329000176 AR Part A Provider - Home Health Agency 9436394129 Practice locations: Springdale, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043557788. Details of each certification follow.

Home health agency certification: CCN 047346

Legal name
LHCG XLII, LLC
Doing business as
ELITE HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 24, 1996
Last certification
Apr 6, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jan 7, 2013 in AR
Enrollment address
4847 Kaylee Ave
Ste B
Springdale, AR 72762-0872

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Elite Home HealthCCN 047346 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Jul 24, 1996
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
04D0929463Elite Home Health4847 Kaylee Avenue, Suite B, Springdale, AR 72762Certificate of waiverJul 11, 2028

National Provider Directory

National Provider Directory
Tax ID family
Elite Home Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

15506 Highway 5
Ste J
Cabot, AR 72023
Phone (501) 424-3100

2051 W Main St
Ste F
Cabot, AR 72023
Phone (501) 424-3100

2501 Dave Ward Dr
Ste A11
Conway, AR 72034
Phone (501) 205-8965

2910 Jenny Lind Rd
Ste 9A
Fort Smith, AR 72901
Phone (479) 494-7273

650 S Shackleford Rd
Ste 303
Little Rock, AR 72211
Phone (501) 223-3333

2860 W Walnut St
Rogers, AR 72756
Phone (479) 621-8300

4847 Kaylee Ave
Ste B
Springdale, AR 72762
Phone (479) 756-5002

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Arkansas Health Care Group LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Mar 1, 2013 100%
Unitedhealth Group Incorporated Organization, Minnetonka, MN Corporation 5% Or Greater Indirect Ownership Interest Feb 22, 2023 100%
Marcus Donavon Macip Individual Corporate OfficerSecretary Feb 22, 2023
Kimberly Seymour Individual Corporate OfficerTreasurer Feb 22, 2023
Missy McAuley Individual W-2 Managing EmployeeExecutive Director Aug 10, 2025
Wendy S Daigle Individual Corporate DirectorDirector, Licensure & Regulatory Oct 1, 2022
LHC Group Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Mar 1, 2013 100%
Joshua Lee Proffitt Individual Corporate OfficerCeo Mar 1, 2013

Facilities with the same owner 22

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

View all 22

Practitioners & affiliated clinicians

Practitioners 4

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 88

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

View all 88

NPI Registry JSON

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1043557788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307",
            "fax_number": "337-233-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4847 KAYLEE AVE STE B",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727620872",
            "telephone_number": "479-756-5002",
            "fax_number": "479-756-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LHCG XLII, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-15",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "AR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elite Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.