NPIMap

Organization Active NPI

Fort Smith Hma Home Health, LLC

Doing business as Access Home Health

  • Home Health Agency
  • Fort Smith, AR
National Provider Identifier
1205997392
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FORT SMITH HMA HOME HEALTH, LLC
Doing business as
Access Home Health
Practice address
4300 Rogers Ave
Stes 34 & 35
Fort Smith, AR 72903-3143
Phone
(479) 441-5850
Fax
(479) 668-4161
NPI assigned
Dec 12, 2006
Last updated
Jan 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 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 NU Primary

Addresses

Primary practice location

4300 Rogers Ave
Stes 34 & 35
Fort Smith, AR 72903-3143

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
17009OtherARBLUE CROSS BLUE SHIELD
185307514MedicaidAR

Other names 1

  • Access 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
O20101112000307 AR Part A Provider - Home Health Agency 4981733797 Practice locations: Fort Smith, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205997392. Details of each certification follow.

Home health agency certification: CCN 047009

Legal name
FORT SMITH HMA HOME HEALTH, LLC
Doing business as
ACCESS HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 25, 1978
Last certification
Jul 1, 2016
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Sep 29, 2009 in AR
Enrollment address
4300 Rogers Ave
Ste 34
Fort Smith, AR 72903-3152

Care Compare: Home health agency

Medicare Care Compare
Listed as
Access Home HealthCCN 047009 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Oct 25, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

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
04D2164432Access Home Health4300 Rogers Ave, Suites 34 & 35, Fort Smith, AR 72903Certificate of waiverApr 3, 2027

National Provider Directory

National Provider Directory
Tax ID family
Fort Smith Hma Home Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4300 Rogers Ave
Ste 34
Fort Smith, AR 72903
Phone (479) 441-5850

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
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
Kimberly Seymour Individual Corporate OfficerTreasurer Feb 22, 2023
Afam Holding Co LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Apr 1, 2018 100%
Tiffany M Phillips Individual W-2 Managing EmployeeAdministrator / Director of Nursing Apr 24, 2023
Wendy S Daigle Individual OtherDirector, Licensure & Regulatory Oct 1, 2022
LHC Group Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Mar 1, 2019 100%
Joshua Lee Proffitt Individual Corporate OfficerPresident Apr 30, 2018
Almost Family, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Mar 1, 2019 100%
National Health Industries, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Mar 1, 2019 80%
Afam Sub I LLC Organization, Lafayette, LA LLC 5% Or Greater Indirect Ownership Interest Mar 1, 2019 20%

Facilities with the same owner 111

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

View all 111

Practitioners & affiliated clinicians

Affiliated clinicians 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1205997392",
    "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": "4300 ROGERS AVE",
            "address_2": "STES 34 & 35",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033143",
            "telephone_number": "479-441-5850",
            "fax_number": "479-668-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT SMITH HMA HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "17009",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185307514",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Access Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.