Active NPI
Momba Home Care Arkansas, LLC
- In Home Supportive Care Agency
- Little Rock, AR
National Provider Identifier
1225875347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- MOMBA HOME CARE ARKANSAS, LLC
- Practice address
- 400 W Capitol Ave Ste 1700
Little Rock, AR 72201-3438 - Phone
- (800) 553-3495
- NPI assigned
- Jul 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elazar Huisman
- Title
- Npi Manager
- Phone
- (404) 418-7484
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
400 W Capitol Ave Ste 1700
Little Rock, AR 72201-3438
Mailing address
400 Perimeter Center Ter NE Ste 300
Atlanta, GA 30346-1201
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776729600000",
"number": "1225875347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 PERIMETER CENTER TER NE STE 300",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303461201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W CAPITOL AVE STE 1700",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722013438",
"telephone_number": "800-553-3495"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOMBA HOME CARE ARKANSAS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-15",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A",
"authorized_official_last_name": "HUISMAN",
"authorized_official_first_name": "ELAZAR",
"authorized_official_title_or_position": "NPI MANAGER",
"authorized_official_telephone_number": "404-418-7484"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.