NPIMap

Organization Active NPI

Dallas County Medical Center Home Care, LLC

Doing business as Elite Home Health

  • Home Health Agency
  • Fordyce, AR
National Provider Identifier
1205546702
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DALLAS COUNTY MEDICAL CENTER HOME CARE, LLC
Doing business as
Elite Home Health
Practice address
310 W College
Fordyce, AR 71742-2230
Phone
(870) 352-2603
Fax
(870) 352-2657
NPI assigned
Nov 25, 2022
Last updated
Sep 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 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
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

310 W College
Fordyce, AR 71742-2230

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
O20230509000595 AR Part A Provider - Home Health Agency 4789637323 Practice locations: Fordyce, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205546702. Details of each certification follow.

Home health agency certification: CCN 047169

Legal name
DALLAS COUNTY MEDICAL CENTER HOME CARE LLC
Doing business as
ELITE HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 18, 2002
Last certification
Aug 30, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Aug 12, 2004 in AR
Enrollment address
310 W College
Fordyce, AR 71742-2230

Care Compare: Home health agency

Medicare Care Compare
Listed as
Elite Home HealthCCN 047169 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Nov 18, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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 Jan 1, 2023 100%
Unitedhealth Group Incorporated Organization, Minnetonka, MN Corporation 5% Or Greater Indirect Ownership Interest Feb 22, 2023 100%
Marcus Donavon Macip Individual Corporate OfficerCorporate Secretary Mar 1, 2023
Kimberly Seymour Individual Corporate OfficerCoo Apr 13, 2026
W-2 Managing EmployeeCoo Apr 13, 2026
Joni Babineaux Individual Corporate OfficerCfo Apr 13, 2026
Wendy S Daigle Individual OtherDirector, Licensure & Regulatory Oct 1, 2022
LHC Group Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Jan 1, 2023 100%
Hallie Raney Individual W-2 Managing EmployeeExecutive Director Nov 1, 2025
Joshua Lee Proffitt Individual Corporate OfficerPresident Jan 1, 2023
Amy Cormier Individual Corporate DirectorDirector of Managed Care May 1, 2025

Facilities with the same owner 22

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

View all 22

Change-of-ownership history 1

DateEventCounterparty
Jan 1, 2023 Change of OwnershipThis provider was the buyer Elite Home HealthCCN 047169, AR, NPI 1952499840

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1669334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1205546702",
    "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": "337-443-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W COLLEGE",
            "city": "FORDYCE",
            "state": "AR",
            "postal_code": "717422230",
            "telephone_number": "870-352-2603",
            "fax_number": "870-352-2657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS COUNTY MEDICAL CENTER HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-25",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "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
        }
    ],
    "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 Fordyce, AR

Sources for this page

Verify at the official NPI Registry.