Organization Active NPI

Baptist Health

  • Community Based Hospice Care Agency
  • Little Rock, AR
National Provider Identifier
1164526554
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
AR3913 Issued in AR
Legal business name
BAPTIST HEALTH
Practice address
11001 Executive Center Dr Ste 300
Little Rock, AR 72211-4300
Phone
(501) 202-7480
NPI assigned
Sep 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Authorized official

Name
Troy Wells
Title
President
Phone
(501) 202-2080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X AR3913 AR Primary

Addresses

Primary practice location

11001 Executive Center Dr Ste 300
Little Rock, AR 72211-4300

Mailing address

11001 Executive Center Dr Ste 300
Little Rock, AR 72211-4300
Phone (501) 202-7480

Other identifiers 2

IdentifierTypeStateIssuer
11520OtherARBCBS PROVIDER NUMBER
126783747MedicaidAR

Other names 1

  • BAPTIST HOSPICE Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101014000319 AR Part A Provider - Hospice 0648177949 Practice locations: Little Rock, AR

Hospice certification: CCN 041520

Legal name
BAPTIST HEALTH
Doing business as
BAPTIST HEALTH HOSPICE - LITTLE ROCK
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 24, 1991
Last certification
Oct 17, 2019
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Oct 1, 1920 in AR
Enrollment address
11900 Colonel Glenn Road
Suite 2000
Little Rock, AR 72210-2820

Care Compare: Hospice

Medicare Care Compare
Listed as
Baptist Health Hospice Little RockCCN 041520
Ownership
Non-Profit
Certified
Sep 24, 1991
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Baptist Health Fam Clinic58 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 23

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 23

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Baptist Health Organization, Little Rock, AR Corporation 5% Or Greater Direct Ownership Interest Jan 1, 1990 100%
Operational/Managerial Control Jan 1, 1990 100%
Ronald Dedman Individual Corporate Director Jan 1, 2022
Lamarr Bailey Individual Corporate Director Jan 1, 2022
Herren Hickingbotham Individual Corporate Director Sep 8, 2010
Michael Carroll Individual Corporate Director Jan 1, 2022
Judy Simmons Henry Individual Corporate Director Sep 8, 2010
Kent Lockwood Individual Corporate Director Aug 2, 2010
Troy Wells Individual Corporate Director Jul 1, 2014
Suzanne Peyton Individual Corporate Director Jan 1, 2022
Henry Torres Individual Corporate Director Jan 1, 2022
John McMorran Individual Corporate Director Jan 1, 2015
Steven Booth Individual Corporate Director Jan 1, 2022
Michael Shelley Individual Corporate Director Jan 1, 2011
James S Jones Individual Corporate Director Sep 8, 2010
Louis M Lee Individual Corporate Director Sep 8, 2010
Teresa Howell Individual Corporate Director Jan 1, 2016
Brent Beaulieu Individual Corporate Officer Jan 18, 2018
W-2 Managing Employee Jan 18, 2018
Glenn Millner Individual Corporate Director Jan 1, 2011
Eddie Choate Individual Corporate Director Aug 2, 2010

All facility ownership & control disclosures 50

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

FacilityTypeRoleSince
Baptist Health Medical Center - ArkadelphiaArkadelphia, AR, CCN 041321 Hospital Operational/Managerial Control Jan 1, 1990
Baptist Health Medical Center ArkadelphiaArkadelphia, AR, CCN 04Z321 Hospital Operational/Managerial Control Jan 1, 1990
Baptist Health Medical Center - Heber SpringsHeber Springs, AR, CCN 041312 Hospital Operational/Managerial Control Jan 1, 1990
Baptist Health Medical Center Heber SpringsHeber Springs, AR, CCN 04Z312 Hospital Operational/Managerial Control Jan 1, 1980
Baptist Health Medical Center North Little RockNorth Little Rock, AR, CCN 040036 Hospital Operational/Managerial Control Jul 1, 1966
Baptist Health Medical Center North Little RockNorth Little Rock, AR, CCN 04T036 Hospital Operational/Managerial Control Jul 1, 1966
Baptist Health Rehabilitation InstituteLittle Rock, AR, CCN 043026 Hospital Operational/Managerial Control Apr 1, 1967
Baptist Health Medical Center Little RockLittle Rock, AR, CCN 040114 Hospital Operational/Managerial Control Feb 1, 1974
Baptist Health Medical Center Little RockLittle Rock, AR, CCN 04S114 Hospital Operational/Managerial Control Jan 1, 1966
Baptist Health Extended Care Hospital - Little Rock, Inc.Little Rock, AR, CCN 042012 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2008
Baptist Health Medical Center - Hot Spring CountyMalvern, AR, CCN 040076 Hospital Operational/Managerial Control Jan 1, 2014
Baptist Health Medical Center-ConwayConway, AR, CCN 040154 Hospital Operational/Managerial Control (100%) Dec 26, 2012
Baptist Health - Fort SmithFort Smith, AR, CCN 040055 Hospital Operational/Managerial Control (100%) Nov 1, 2018
Baptist Health - Fort SmithFort Smith, AR, CCN 04S055 Hospital Operational/Managerial Control (100%) Nov 1, 2018
Baptist Health - Van BurenVan Buren, AR, CCN 040018 Hospital Operational/Managerial Control (100%) Nov 1, 2018
Baptist Health Medical Center - Hot Spring CountyMalvern, AR, CCN 04U076 Hospital Operational/Managerial Control Jan 1, 2014
Baptist Health Medical Center - ConwayConway, AR, CCN 04T154 Hospital Operational/Managerial Control (100%) Dec 26, 2012
Baptist Health Medical Center - Drew CountyMonticello, AR, CCN 040051 Hospital Operational/Managerial Control (100%) Dec 3, 2023
Baptist Health Medical Center - Drew CountyMonticello, AR, CCN 04S051 Hospital Operational/Managerial Control (100%) Dec 3, 2023
Baptist Health Medical Center - Drew CountyMonticello, AR, CCN 04U051 Hospital Operational/Managerial Control (100%) Dec 3, 2023
Baptist Health Medical Center - StuttgartStuttgart, AR, CCN 04Z337 Hospital Operational/Managerial Control Jan 1, 2009
Baptist Health Medical Center - StuttgartStuttgart, AR, CCN 041337 Hospital Operational/Managerial Control Jan 1, 2009
Baptist Health Home Health - Heber SpringsHeber Springs, AR, CCN 047097 Home health agency 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2008
Baptist Health Home Health - ArkadelphiaArkadelphia, AR, CCN 047326 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Oct 26, 2010
Oct 26, 2010
Baptist Health Home Health-Little RockLittle Rock, AR, CCN 047090 Home health agency 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2016
Baptist Health Home Health Network - Drew CountyMonticello, AR, CCN 047082 Home health agency Operational/Managerial Control Dec 3, 2023
Baptist Health HospiceArkadelphia, AR, CCN 041554 Hospice 5% Or Greater Direct Ownership Interest
Operational/Managerial Control
Oct 26, 2010
Oct 26, 2010
Baptist Health Family Clinic - Greers FerryGreers Ferry, AR, CCN 043990 Rural health clinic Operational/Managerial Control Dec 15, 1992
Baptist Health - Family Clinic BrinkleyBrinkley, AR, CCN 043457 Rural health clinic Operational/Managerial Control Jan 1, 2009
Baptist Health - Family Clinic ClarendonClarendon, AR, CCN 043456 Rural health clinic Operational/Managerial Control Jan 1, 2009
Baptist Health - Stuttgart Medical ClinicStuttgart, AR, CCN 043480 Rural health clinic Operational/Managerial Control Jan 1, 2009
Baptist Health - Family Clinic DewittDewitt, AR, CCN 043492 Rural health clinic Operational/Managerial Control Jan 1, 2009
Baptist Health - Family Clinic HazenHazen, AR, CCN 043489 Rural health clinic Operational/Managerial Control Jan 1, 2009
Baptist Health Family Clinic - GurdonGurdon, AR, CCN 048504 Rural health clinic Operational/Managerial Control Apr 4, 2011
Baptist Health Family Clinic - Heber SpringsHeber Springs, AR, CCN 048506 Rural health clinic Operational/Managerial Control Sep 1, 2013
Baptist Health Stuttgart Campus ClinicStuttgart, AR, CCN 048505 Rural health clinic Operational/Managerial Control Jan 1, 2009
Baptist Health Family Clinic - Caddo ValleyCaddo Valley, AR, CCN 048507 Rural health clinic Operational/Managerial Control Jul 7, 2014
Baptist Health Family Clinic - BismarckBismarck, AR, CCN 048508 Rural health clinic Operational/Managerial Control Jul 7, 2014
Baptist Health Family Clinic - PrescottPrescott, AR, CCN 048511 Rural health clinic Operational/Managerial Control Oct 1, 2014
Baptist Health Heber Springs Campus ClinicHeber Springs, AR, CCN 048512 Rural health clinic Operational/Managerial Control Oct 1, 2014
BH Arkadelphia Medical ClinicArkadelphia, AR, CCN 048524 Rural health clinic Operational/Managerial Control (100%) Sep 1, 2020
Baptist Health Family Clinic - SparkmanSparkman, AR, CCN 048530 Rural health clinic Operational/Managerial Control Apr 1, 2021
Baptist Health Family Clinic - MalvernMalvern, AR, CCN 048535 Rural health clinic Operational/Managerial Control (100%) May 1, 2022
Baptist Health Family Clinic - AlmaAlma, AR, CCN 048538 Rural health clinic Operational/Managerial Control (100%) Nov 1, 2018
Baptist Health Family Clinic - SheridanSheridan, AR, CCN 048545 Rural health clinic Operational/Managerial Control (100%) Mar 15, 2024
Baptist Health Ouachita Valley Family ClinicCamden, AR, CCN 048550 Rural health clinic Operational/Managerial Control (100%) Nov 1, 2024
Baptist Health Family Clinic - LonokeLonoke, AR, CCN 048553 Rural health clinic Operational/Managerial Control (100%) May 1, 2025
Baptist Health Family Clinic - PerryvillePerryville, AR, CCN 048562 Rural health clinic Operational/Managerial Control Jul 1, 2025
Baptist Health Family Clinic - BeebeBeebe, AR, CCN 048561 Rural health clinic Operational/Managerial Control (100%) Jul 8, 2025
Baptist Health Family Clinic - RussellvilleRussellville, AR, CCN 048560 Rural health clinic Operational/Managerial Control Jul 15, 2025

Facilities with the same owner 50

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

View all 50

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": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1164526554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 EXECUTIVE CENTER DR STE 300",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114300",
            "telephone_number": "501-202-7480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11001 EXECUTIVE CENTER DR STE 300",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114300",
            "telephone_number": "501-202-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-202-2080"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AR",
            "license": "AR3913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "11520",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126783747",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "BAPTIST HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.