NPIMap

Organization Active NPI

El Dorado Home Care Services, LLC

  • Home Health Agency
  • El Dorado, AR
National Provider Identifier
1285659409
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EL DORADO HOME CARE SERVICES, LLC
Practice address
704 W Grove St Ste 7
El Dorado, AR 71730-4469
Phone
(870) 862-2631
Fax
(870) 862-2858
NPI assigned
Jul 12, 2006
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X AR3531 AR
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

704 W Grove St Ste 7
El Dorado, AR 71730-4469

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
142883514MedicaidAR

Other names 1

  • South Arkansas 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
O20090615000215 AR Part A Provider - Home Health Agency 4880744705 Practice locations: El Dorado, AR

Home health agency certification: CCN 047021

Legal name
EL DORADO HOME CARE SERVICES LLC
Doing business as
SOUTH ARKANSAS HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 29, 1980
Last certification
Mar 3, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
704 W Grove St
Ste 7
El Dorado, AR 71730-4469

Care Compare: Home health agency

Medicare Care Compare
Listed as
South Arkansas Home HealthCCN 047021
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jul 29, 1980
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, 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
04D0677755El Dorado Home Care Services, LLC704 West Grove Ste 7, El Dorado, AR 71730Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 13

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 OfficerCoo Apr 13, 2026
W-2 Managing EmployeeCoo Apr 13, 2026
Joni Babineaux Individual Corporate OfficerCfo Apr 13, 2026
Wendy S Daigle Individual Corporate DirectorDirector, Licensure & Regulatory Oct 1, 2022
Staci Herring Individual W-2 Managing EmployeeAdministrator May 7, 2012 100%
LHC Group Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Apr 1, 2018 100%
Afam Holding Co V, LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Sep 1, 2023 100%
Joshua Lee Proffitt Individual Corporate OfficerPresident Apr 30, 2018
Almost Family, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Dec 31, 2016 100%
National Health Industries, Inc. Organization, Lafayette, LA For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2016 80%
Afam Sub I LLC Organization, Lafayette, LA LLC 5% Or Greater Indirect Ownership Interest Sep 1, 2023 20%
Amy Cormier Individual Corporate DirectorDirector of Managed Care May 1, 2025

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 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1285659409",
    "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": "704 W GROVE ST STE 7",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304469",
            "telephone_number": "870-862-2631",
            "fax_number": "870-862-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL DORADO HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "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": "AR",
            "license": "AR3531",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142883514",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Arkansas Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Arkansas Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Dorado, AR

Sources for this page

Verify at the official NPI Registry.