Organization Active NPI

Amedisys Arkansas, L.L.C.

Doing business as Adoration Home Health

  • Home Health Agency
  • Mountain View, AR
National Provider Identifier
1306805924
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
AR4629 Issued in AR
Legal business name
AMEDISYS ARKANSAS, L.L.C.
Doing business as
Adoration Home Health
Amedisys Home Health of Mountain View
Practice address
609 Sylamore Avenue
Mountain View, AR 72560
Phone
(877) 683-2993
Fax
(870) 269-5375
NPI assigned
Mar 22, 2006
Last updated
Aug 31, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Authorized official

Name
Travis Miglicco
Title
SVP Tax
Phone
(225) 299-3803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X AR4629 AR Primary

Addresses

Primary practice location

609 Sylamore Avenue
Mountain View, AR 72560

Mailing address

1103 E Main St Ste C
Mountain View, AR 72560-4007
Phone (225) 292-2031

Other identifiers 1

IdentifierTypeStateIssuer
179097514MedicaidAR

Other names 2

  • Adoration Home Health Doing business as
  • Amedisys Home Health of Mountain View Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090511000419 AR Part A Provider - Home Health Agency 1456263433 Practice locations: Mountain View, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306805924. Details of each certification follow.

Home health agency certification: CCN 047108

Legal name
AMEDISYS ARKANSAS, LLC
Doing business as
AMEDISYS HOME HEALTH OF MOUNTAIN VIEW
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 20, 1989
Last certification
Jun 22, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
May 16, 2003 in AR
Enrollment address
1103 E Main St
Ste C
Mountain View, AR 72560-6150

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Adoration Home HealthCCN 047108 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Jul 20, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Amedisys Arkansas LLC3 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.

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

609 Sylamore Ave
Mountain View, AR 72560
Phone (877) 683-2993

Ownership & related parties

All disclosed owners & managing parties 9

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, For-profit 5% Or Greater Indirect Ownership Interest Aug 14, 2025 100%
Scott G Ginn Individual Corporate OfficerCfo, Treasurer and Vice President Apr 15, 2022
Bridget R Kaigler Individual W-2 Managing Employee Apr 15, 2022
Operational/Managerial ControlSr. Director, Tax Apr 15, 2022
Amedisys Inc Organization, Baton Rouge, LA Corporation, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 20, 2015 100%
Travis Miglicco Individual Corporate OfficerSenior Vice President of Tax Apr 15, 2022
Richard M Ashworth Individual Corporate OfficerPresident & Ceo Apr 10, 2023
Kristina J Braud Individual W-2 Managing Employee Apr 15, 2022
Operational/Managerial ControlRegulatory Manager Apr 15, 2022
Amedisys Holding LLC Organization, Baton Rouge, LA LLC 5% Or Greater Direct Ownership Interest Jan 1, 2011
Marissa Rector Individual W-2 Managing EmployeeAdministrator Jul 11, 2022 100%
Operational/Managerial ControlAdministrator Jul 11, 2022 100%

Practitioners & affiliated clinicians

Practitioners 10

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1306805924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 E MAIN ST STE C",
            "city": "MOUNTAIN VIEW",
            "state": "AR",
            "postal_code": "725604007",
            "telephone_number": "225-292-2031",
            "fax_number": "225-295-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 SYLAMORE AVENUE",
            "city": "MOUNTAIN VIEW",
            "state": "AR",
            "postal_code": "72560",
            "telephone_number": "877-683-2993",
            "fax_number": "870-269-5375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS ARKANSAS, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "MIGLICCO",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "SVP TAX",
        "authorized_official_telephone_number": "225-299-3803"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AR",
            "license": "AR4629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179097514",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adoration Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Amedisys Home Health of Mountain View",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountain View, AR

Sources for this page

Verify at the official NPI Registry.