NPIMap

Organization Active NPI

Care IV, Inc.

  • Home Health Agency
  • Little Rock, AR
National Provider Identifier
1275520652
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
AR3939 Issued in AR
Legal business name
CARE IV, INC.
Practice address
1023 Rushing Cir
Little Rock, AR 72204-2498
Phone
(501) 686-2400
Fax
(501) 686-2499
NPI assigned
Sep 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Authorized official

Name
Mr. Steven Hammond
Title
Vice President/General Manager
Phone
(501) 686-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X AR3939 AR Primary

Addresses

Primary practice location

1023 Rushing Cir
Little Rock, AR 72204-2498

Mailing address

1023 Rushing Cir
Little Rock, AR 72204-2498
Phone (501) 686-2400

Other identifiers 2

IdentifierTypeStateIssuer
10603OtherARBCBS ARKANSAS
142848738MedicaidAR

Other names 1

  • Care IV Home Health Little Rock Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20060605000013 AR Part A Provider - Home Health Agency 3072421320 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Russellville, AR
O20060605000022 AR Part A Provider - Home Health Agency 3072421320 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hot Springs, AR
O20130328000419 AR Part A Provider - Home Health Agency 3072421320 Practice locations: Little Rock, AR

Home health agency certification: CCN 047173

Legal name
CARE IV, INC.
Doing business as
CARE IV HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 8, 2006
Last certification
Nov 5, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Oct 4, 1994 in IL
Enrollment address
1008 W Main St
Russellville, AR 72801-3518

Home health agency certification: CCN 047174

Legal name
CARE IV, INC.
Doing business as
CARE IV HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 6, 2006
Last certification
Jul 1, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Oct 4, 1994 in IL
Enrollment address
100 Ridgeway
Suite 3
Hot Springs, AR 71901-7156

Home health agency certification: CCN 047178

Legal name
CARE IV, INC.
Doing business as
CARE IV HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 31, 2013
Last certification
Aug 2, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Oct 4, 1994 in IL
Enrollment address
1023 Rushing Circle
Little Rock, AR 72204-2498
HHA Branch

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Care IV Home HealthCCN 047174
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Sep 6, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Care Compare: Home health agency

Medicare Care Compare
Listed as
Care IV Home HealthCCN 047173
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Sep 8, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

Care Compare: Home health agency

Medicare Care Compare
Listed as
Care IV Home HealthCCN 047178
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Oct 31, 2013
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
04D2056963Care IV Home Health1023 Rushing Circle, Little Rock, AR 72204Certificate of waiverApr 4, 2027

National Provider Directory

National Provider Directory

Locations

438 E Millsap Rd
Ste 204
Fayetteville, AR 72703
Phone (479) 750-1155

1008 W Main St
Russellville, AR 72801
Phone (479) 964-0072

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Ralph J Friedmann Individual 5% Or Greater Direct Ownership Interest Jul 9, 2024 11.5%
George K Friedmann Individual 5% Or Greater Direct Ownership Interest Jul 9, 2024 11.5%
Steven D Hammond Individual 5% Or Greater Direct Ownership InterestVice President Jan 1, 2009 10%
Corporate OfficerVice President Jan 1, 2009 10%
Corporate DirectorVice President Jan 1, 2009 10%
W-2 Managing EmployeeVice President Jan 27, 2005 10%
5% Or Greater Direct Ownership Interest Jul 3, 2003
Corporate Director Jul 3, 2003
W-2 Managing Employee Jul 3, 2003
5% Or Greater Direct Ownership Interest Dec 31, 2009 10%
Corporate OfficerVice President & General Manager Dec 14, 2010 10%
W-2 Managing EmployeeVice President & General Manager Dec 14, 2010 10%
Operational/Managerial ControlVice President & General Manager Dec 14, 2010 10%
Suzanne Jeanmenne Individual 5% Or Greater Direct Ownership Interest May 28, 2010 9%
5% Or Greater Direct Ownership Interest May 28, 2010
Dorothy Friedmann Individual 5% Or Greater Direct Ownership Interest May 28, 2010 7%
5% Or Greater Direct Ownership Interest May 28, 2010
Ralph J Friedmann Individual 5% Or Greater Direct Ownership InterestPresident/Ceo Dec 5, 2012 51%
Corporate OfficerPresident/Ceo Dec 5, 2012 51%
W-2 Managing EmployeePresident/Ceo Dec 5, 2012 51%
5% Or Greater Direct Ownership Interest Jan 1, 2009 51%
Corporate OfficerPresident Jan 1, 2009 51%
Corporate Director Jan 1, 2009
W-2 Managing EmployeePresident Dec 5, 2012 51%
5% Or Greater Direct Ownership Interest Jun 1, 1994 51%
Operational/Managerial ControlPresident, Ceo, Board Member Jun 1, 1994 51%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 87

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

View all 87

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1275520652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 RUSHING CIR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722042498",
            "telephone_number": "501-686-2400",
            "fax_number": "501-686-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 RUSHING CIR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722042498",
            "telephone_number": "501-686-2400",
            "fax_number": "501-686-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE IV, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "VICE PRESIDENT/GENERAL MANAGER",
        "authorized_official_telephone_number": "501-686-2400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AR",
            "license": "AR3939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ARKANSAS",
            "identifier": "10603",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142848738",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care IV Home Health Little Rock",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.