NPIMap

Organization Active NPI

Arkansas Home Health Providers-IV, LLC

Doing business as Elite Home Health

  • Home Health Agency
  • Jonesboro, AR
National Provider Identifier
1265833636
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ARKANSAS HOME HEALTH PROVIDERS-IV, LLC
Doing business as
Elite Home Health
Practice address
3024 Red Wolf Blvd
Suite 6
Jonesboro, AR 72401-7415
Phone
(870) 520-6034
Fax
(870) 520-6279
NPI assigned
Sep 4, 2014
Last updated
Jun 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
Nursing Care Agency 251J00000X NU

Addresses

Primary practice location

3024 Red Wolf Blvd
Suite 6
Jonesboro, AR 72401-7415

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
O20150319000108 AR Part A Provider - Home Health Agency 4981921574 Practice locations: Jonesboro, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265833636. Details of each certification follow.

Home health agency certification: CCN 047145

Legal name
ARKANSAS HOME HEALTH PROVIDERS-IV, LLC
Doing business as
ELITE HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 14, 1993
Last certification
Jun 29, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Sep 4, 2014 in AR
Enrollment address
3024 Red Wolf Blvd
Ste 6
Jonesboro, AR 72401-7415

Care Compare: Home health agency

Medicare Care Compare
Listed as
Elite Home HealthCCN 047145 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jun 14, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, 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
04D2100834Elite Home Health3024 Red Wolf Blvd, Suite 6, Jonesboro, AR 72401Certificate of waiverAug 23, 2027

National Provider Directory

National Provider Directory
Tax ID family
Arkansas Home Health Providers-IV2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Sarah M Beal Individual W-2 Managing EmployeeAdministrator/Director of Nursing Dec 21, 2020
Operational/Managerial ControlAdministrator/Director of Nursing Dec 21, 2020
Unitedhealth Group Incorporated Organization, Minnetonka, MN Corporation 5% Or Greater Indirect Ownership Interest Feb 22, 2023 67%
Baptist Memorial Home Care Inc Organization, Memphis, TN Corporation 5% Or Greater Indirect Ownership Interest Sep 1, 2021 33%
LHCG Lxxxviii LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Sep 1, 2021 100%
Tennessee Health Care Group LLC Organization, Lafayette, LA LLC 5% Or Greater Indirect Ownership Interest Sep 1, 2021 67%
Wendy S Daigle Individual OtherDirector, Licensure & Regulatory Oct 1, 2022
LHC Group Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Sep 1, 2021 67%
Joshua Lee Proffitt Individual Corporate OfficerPresident Jul 1, 2016

Facilities with the same owner 46

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

View all 46

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 58

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

View all 58

NPI Registry JSON

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655683200000",
    "number": "1265833636",
    "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": "3024 RED WOLF BLVD",
            "address_2": "SUITE 6",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017415",
            "telephone_number": "870-520-6034",
            "fax_number": "870-520-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS HOME HEALTH PROVIDERS-IV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-04",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "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
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.