Active NPI
Hospice Home Care, LLC
Doing business as Hospice Home Care of Monticello
- Community Based Hospice Care Agency
- Monticello, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- AR3712
- Legal business name
- HOSPICE HOME CARE, LLC
- Doing business as
- Hospice Home Care of Monticello
- Practice address
- 989 Highway 425 N
Monticello, AR 71655-4400 - Phone
- (870) 367-9008
- Fax
- (501) 221-0687
- NPI assigned
- Feb 2, 2007
- Last updated
- Aug 13, 2026
- Organization subpart
- Yes
- Parent organization
- HOSPICE HOME CARE, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jay Koeper
- Title
- President
- Phone
- (502) 394-2100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | AR3712 | AR | Primary |
Addresses
Primary practice location
989 Highway 425 N
Monticello, AR 71655-4400
Mailing address
2200 S Bowman Rd Ste a
Little Rock, AR 72211-4136
Phone (501) 558-4100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 137628747 | Medicaid | AR |
Other names 1
- Hospice Home Care of Monticello
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050603000481 | AR | Part A Provider - Hospice | 4688644164 | Practice locations: Monticello, AR |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1114065018. Details of each certification follow.
Hospice certification: CCN 041523
- Legal name
- HOSPICE HOME CARE, LLC
- Doing business as
- HOSPICE HOME CARE OF MONTICELLO
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Feb 5, 1992
- Last certification
- Jul 8, 2022
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC
- Incorporated
- Aug 1, 1994 in AR
- Enrollment address
- 989 Highway 425 N
Monticello, AR 71655-4400
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Hospice Home Care of Bryant
- Community Based Hospice Care Agency
- Little Rock, AR
- NPI 1306984364
4688644164
Care Compare: Hospice
Medicare Care Compare- Listed as
- Hospice Home Care of Monticello
- Ownership
- For-Profit
- Certified
- Feb 5, 1992
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- Hospice Home Care LLC
- Part of
- Hospice Home Care LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Hospice Home Care of Bryant
- Community Based Hospice Care Agency
- Little Rock, AR
- NPI 1306984364
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
990 Highway 425 N
Monticello, AR 71655
Phone (870) 367-9008
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Jay Koeper | Corporate Officer | Jul 14, 2023 | |
| Corporate Director | Jul 14, 2023 | ||
| Jennifer Phipps | Corporate Officer | Jul 22, 2022 | |
| Walgreen Co | 5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 20% |
| Silverton Abode Holding Corporation | 5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 100% |
| Margaret Sherry Pemberton | Corporate Officer | Nov 1, 2021 | |
| Corporate Director | Dec 3, 2021 | ||
| Brightspring Health Holdings Corp | 5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 100% |
| Silverton Intermediate Holdings, Inc. | 5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 100% |
| Phoenix Guarantor Inc. | 5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 100% |
| Res-Care Inc | 5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 100% |
| Silverton Holdings, Inc. | 5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 100% |
| Phoenix Intermediate Holdings Inc. | 5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 100% |
| Darren S Freeman | Contracted Managing Employee | Sep 23, 2021 | |
| Abode Healthcare, Inc. | 5% Or Greater Direct Ownership Interest | Nov 1, 2021 | 100% |
| Walgreens Holding Company | 5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 20% |
| Brightspring Health Services Inc | 5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 100% |
| Kristi Kenslow | W-2 Managing Employee | Nov 1, 2021 | |
| KKR Phoenix Aggregator L.P. | 5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 48% |
| KKR Americas Fund XII LP | 5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 42% |
| Michael a McMaude | Corporate Officer | Nov 1, 2021 | |
| Corporate Director | Dec 3, 2021 | ||
| Silverton Abode, LLC | 5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Conway, AR
- NPI 1740442284
Contracted Managing Employee
All facility ownership & control disclosures 4
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Hospice Home Care of Pine Bluff, LLC | Hospice | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2021 |
| Spring Valley Hospice, LLC | Hospice | 5% Or Greater Direct Ownership Interest (100%) | Apr 30, 2016 |
| All Saints Hospice | Hospice | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2021 |
| Spring Valley Hospice of Tupelo | Hospice | 5% Or Greater Direct Ownership Interest (100%) | Nov 17, 2015 |
Owned or controlled facilities with NPI records 4
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- White Hall, AR
- NPI 1912045899
5% Or Greater Direct Ownership Interest
-
dba Spring Valley Hospice
- Community Based Hospice Care Agency
- Tupelo, MS
- NPI 1790159358
5% Or Greater Direct Ownership Interest
-
dba All Saints Hospice
- Community Based Hospice Care Agency
- Mansura, LA
- NPI 1902199102
5% Or Greater Direct Ownership Interest
-
- Community Based Hospice Care Agency
- Olive Branch, MS
- NPI 1306086756
5% Or Greater Direct Ownership Interest
Facilities with the same owner 151
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Adoration Home Health
- Home Health Agency
- De Queen, AR
- NPI 1093742066
Brightspring Health Holdings Corp, Brightspring Health Services Inc, Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc
-
dba Adoration Home Health
- Home Health Agency
- Batesville, AR
- NPI 1821040312
Brightspring Health Services Inc, Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc
-
dba Adoration Home Health
- Home Health Agency
- Van Buren, AR
- NPI 1346208758
Brightspring Health Services Inc, Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc
-
- Community Based Hospice Care Agency
- White Hall, AR
- NPI 1912045899
Abode Healthcare, Inc., Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Silverton Abode Holding C
-
dba Hospice Home Care of Bryant
- Community Based Hospice Care Agency
- Little Rock, AR
- NPI 1306984364
Abode Healthcare, Inc., Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Silverton Abode Holding C
-
dba UAMS Health - Home Health
- Home Health Agency
- Searcy, AR
- NPI 1821295346
Brightspring Health Services Inc, Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc
-
dba Adoration Home Health Brownsville
- Home Health Agency
- Brownsville, TN
- NPI 1639659675
Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Walgreens Holding Company
-
dba Adoration Home Health
- Home Health Agency
- Knoxville, TN
- NPI 1255811295
Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc
-
dba Adoration Home Health Martin
- Home Health Agency
- Martin, TN
- NPI 1093295040
Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Walgreen Co, Walgreens Holding Company
-
dba Adoration Home Health McMinnville
- Home Health Agency
- McMinnville, TN
- NPI 1275013229
Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Walgreen Co, Walgreens Holding Company
-
dba Adoration Home Health Nashville South
- Home Health Agency
- Brentwood, TN
- NPI 1346720398
Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Walgreen Co, Walgreens Holding Company
-
dba Abode Hospice of Colorado
- Community Based Hospice Care Agency
- Colorado Springs, CO
- NPI 1326459025
Abode Healthcare, Inc., Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Silverton Abode Holding C
Practitioners & affiliated clinicians
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786579200000",
"number": "1114065018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 S BOWMAN RD STE A",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722114136",
"telephone_number": "501-558-4100",
"fax_number": "501-221-0687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "989 HIGHWAY 425 N",
"city": "MONTICELLO",
"state": "AR",
"postal_code": "716554400",
"telephone_number": "870-367-9008",
"fax_number": "501-221-0687"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPICE HOME CARE, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HOSPICE HOME CARE, LLC",
"enumeration_date": "2007-02-02",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A",
"authorized_official_last_name": "KOEPER",
"authorized_official_first_name": "JAY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "502-394-2100"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "AR",
"license": "AR3712",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137628747",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hospice Home Care of Monticello",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Monticello, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.