NPIMap

Organization Active NPI

Hospice of Central Arkansas, LLC

Doing business as Elite Hospice

  • Community Based Hospice Care Agency
  • Hot Springs, AR
National Provider Identifier
1124268719
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HOSPICE OF CENTRAL ARKANSAS, LLC
Doing business as
Elite Hospice
Practice address
135 Amity Rd Ste a
Hot Springs, AR 71913-2340
Phone
(501) 623-2076
Fax
(501) 627-0590
NPI assigned
Feb 23, 2009
Last updated
Jan 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

135 Amity Rd Ste a
Hot Springs, AR 71913-2340

Mailing address

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

Other names 1

  • Elite Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090515000032 AR Part A Provider - Hospice 0244389518 Practice locations: Hot Springs, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124268719. Details of each certification follow.

Hospice certification: CCN 041511

Legal name
HOSPICE OF CENTRAL ARKANSAS, LLC
Doing business as
ELITE HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 24, 1989
Last certification
Nov 15, 2019
Ownership / control type
Proprietary - Other
Organization structure
LLCProprietary
Incorporated
Feb 18, 2009 in AR
Enrollment address
135 Amity Rd
Ste a
Hot Springs, AR 71913-2340

Care Compare: Hospice

Medicare Care Compare
Listed as
Elite HospiceCCN 041511 · All quality measures
Ownership
For-Profit
Certified
May 24, 1989
Medicare certification status
ActiveFrom the Provider of Services file

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
04D2005111Elite Hospice135 Amity Road, Suite a, Hot Springs, AR 71913Certificate of waiverMar 18, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

135 Amity Rd
Ste A
Hot Springs, AR 71913
Phone (501) 623-2076

1801 Central Ave
Ste A
Hot Springs National Park, AR 71901
Phone (501) 623-2076

Ownership & related parties

All disclosed owners & managing parties 9

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 Apr 1, 2009 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
Brandi Fairchild Individual W-2 Managing EmployeeAd;Don Jul 16, 2024
Kimberly Seymour Individual Corporate OfficerTreasurer Feb 22, 2023
John Scott Erwin Individual W-2 Managing EmployeeMedical Director Mar 1, 2024
Wendy S Daigle Individual Corporate DirectorDirector, Licensure & Regulatory Oct 1, 2022
LHC Group Inc Organization, Lafayette, LA Corporation, Chain home office 5% Or Greater Indirect Ownership Interest Apr 1, 2009 100%
Joshua Lee Proffitt Individual Corporate OfficerPresident Aug 1, 2012

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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

Affiliated clinicians 2

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": "1235347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1124268719",
    "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": "135 AMITY RD STE A",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719132340",
            "telephone_number": "501-623-2076",
            "fax_number": "501-627-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF CENTRAL ARKANSAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-23",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "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": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.