Organization Active NPI

Hospice Home Care, LLC

Doing business as Hospice Home Care of Monticello

  • Community Based Hospice Care Agency
  • Monticello, AR
National Provider Identifier
1114065018
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
AR3712 Issued in AR
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, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
HOSPICE HOME CARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
137628747MedicaidAR

Other names 1

  • Hospice Home Care of Monticello Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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).

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice Home Care of MonticelloCCN 041523 · All quality measures
Ownership
For-Profit
Certified
Feb 5, 1992
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Hospice Home Care LLC2 organizations share this tax ID, including this one
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.

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.

NameRoleSinceShare
Jay Koeper Individual Corporate OfficerSecretary Jul 14, 2023
Corporate DirectorBoard Member Jul 14, 2023
Jennifer Phipps Individual Corporate OfficerTreasurer Jul 22, 2022
Walgreen Co Organization, Deerfield, IL Corporation, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 20%
Silverton Abode Holding Corporation Organization, Louisville, KY Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 100%
Margaret Sherry Pemberton Individual Corporate OfficerVice President Nov 1, 2021
Corporate DirectorBoard Member Dec 3, 2021
Brightspring Health Holdings Corp Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 100%
Silverton Intermediate Holdings, Inc. Organization, Louisville, KY Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 100%
Phoenix Guarantor Inc. Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 100%
Res-Care Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 100%
Silverton Holdings, Inc. Organization, Louisville, KY Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 100%
Phoenix Intermediate Holdings Inc. Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 100%
Darren S Freeman Individual Contracted Managing EmployeeMD; Sep 23, 2021
Abode Healthcare, Inc. Organization, Louisville, KY Corporation, For-profit 5% Or Greater Direct Ownership Interest Nov 1, 2021 100%
Walgreens Holding Company Organization, Deerfield, IL Corporation, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 20%
Brightspring Health Services Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 100%
Kristi Kenslow Individual W-2 Managing EmployeeAd; Nov 1, 2021
KKR Phoenix Aggregator L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 48%
KKR Americas Fund XII LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 42%
Michael a McMaude Individual Corporate OfficerPresident Nov 1, 2021
Corporate DirectorBoard Member Dec 3, 2021
Silverton Abode, LLC Organization, Louisville, KY LLC, Holding company, For-profit 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.

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Hospice Home Care of Pine Bluff, LLCWhite Hall, AR, CCN 041519 Hospice 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2021
Spring Valley Hospice, LLCOlive Branch, MS, CCN 251658 Hospice 5% Or Greater Direct Ownership Interest (100%) Apr 30, 2016
All Saints HospiceMansura, LA, CCN 191677 Hospice 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2021
Spring Valley Hospice of TupeloTupelo, MS, CCN 251702 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.

Facilities with the same owner 151

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

View all 151

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

Verify at the official NPI Registry.