Organization Active NPI

Hospice Home Care, LLC

Doing business as Hospice Home Care of Bryant

  • Community Based Hospice Care Agency
  • Little Rock, AR
National Provider Identifier
1306984364
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
AR0135 Issued in AR
Legal business name
HOSPICE HOME CARE, LLC
Doing business as
Hospice Home Care of Bryant
Hospice Home Care of Conway
Hospice Home Care of Hot Springs1 more in Other names
Practice address
2200 S Bowman Rd
Little Rock, AR 72211-4136
Phone
(501) 558-4100
Fax
(501) 221-0687
NPI assigned
Feb 2, 2007
Last updated
Aug 13, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
HOSPICE HOME CARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Authorized official

Name
Jay Koeper
Title
President
Phone
(502) 394-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X AR0135 AR Primary

Addresses

Primary practice location

2200 S Bowman Rd
Little Rock, AR 72211-4136

Mailing address

2200 S Bowman Rd Ste a
Little Rock, AR 72211-4136
Phone (501) 558-4100

Other identifiers 1

IdentifierTypeStateIssuer
130800747MedicaidAR

Other names 4

  • Hospice Home Care of Bryant Doing business as
  • Hospice Home Care of Conway Doing business as
  • Hospice Home Care of Hot Springs Doing business as
  • Hospice Home Care of Russellville Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080403000048 AR Part A Provider - Hospice 4688644164 1 other NPI on this enrollment
Practice locations: Searcy, AR; Russellville, AR; Little Rock, AR; Hot Springs, AR; Conway, AR; Bryant, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306984364. Details of each certification follow.

Hospice certification: CCN 041524

Legal name
HOSPICE HOME CARE, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 28, 1992
Last certification
Dec 2, 2021
Ownership / control type
Proprietary - Other
Organization structure
LLCProprietary
Incorporated
Aug 19, 1994 in AR
Enrollment address
2200 S Bowman Rd
Ste a
Little Rock, AR 72211-4136

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice Home Care LLCCCN 041524 · All quality measures
Ownership
For-Profit
Certified
Feb 28, 1992
Medicare certification status
ActiveFrom the Provider of Services file

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
04D2339840Hospice Home Care, Little Rock Ipu2200 S Bowman Rd, Suite C, Little Rock, AR 72211Certificate of waiverMar 8, 2028

National Provider Directory

National Provider Directory
Tax ID family
Hospice Home Care LLC2 organizations share this tax ID, including this one
Part of
Hospice Home Care LLC

Other organizations with this tax ID 1

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

Member organizations 5

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

Locations

307 Bryant Ave
Ste 1B
Bryant, AR 72022
Phone (501) 436-4100

4332 Central Ave
Ste J
Hot Springs, AR 71913
Phone (501) 321-4014

4565 N Highway 7
Ste 6
Hot Springs Village, AR 71909

2200 S Bowman Rd
Little Rock, AR 72211
Phone (501) 207-0492

2200 S Bowman Rd
Ste A
Little Rock, AR 72211
Phone (501) 558-4100

2301 E Main St
Ste 110
Russellville, AR 72802
Phone (479) 668-4100

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Jay Koeper Individual Corporate OfficerSecretary Jul 14, 2023
Corporate DirectorBoard Member Jul 14, 2023
Jennifer Phipps Individual Corporate OfficerTreasurer Jul 22, 2022
Walgreen Co Organization, Deerfield, IL Corporation, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 20%
Silverton Abode Holding Corporation Organization, Louisville, KY Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 100%
Margaret Sherry Pemberton Individual Corporate OfficerVice President Nov 1, 2021
Corporate DirectorBoard Member Dec 3, 2021
Brightspring Health Holdings Corp Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 100%
Silverton Intermediate Holdings, Inc. Organization, Louisville, KY Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 100%
Phoenix Guarantor Inc. Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 100%
Res-Care Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 100%
Silverton Holdings, Inc. Organization, Louisville, KY Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 100%
Phoenix Intermediate Holdings Inc. Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 100%
Darren S Freeman Individual Contracted Managing EmployeeMD; Sep 23, 2021
Abode Healthcare, Inc. Organization, Louisville, KY Corporation, For-profit 5% Or Greater Direct Ownership Interest Nov 1, 2021 100%
Walgreens Holding Company Organization, Deerfield, IL Corporation, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 20%
Brightspring Health Services Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 100%
Kristi Kenslow Individual W-2 Managing EmployeeAd; Nov 1, 2021
KKR Phoenix Aggregator L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 48%
KKR Americas Fund XII LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 42%
Michael a McMaude Individual Corporate OfficerPresident Nov 1, 2021
Corporate DirectorBoard Member Dec 3, 2021
Silverton Abode, LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospice Home Care of Pine Bluff, LLCWhite Hall, AR, CCN 041519 Hospice 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2021
Spring Valley Hospice, LLCOlive Branch, MS, CCN 251658 Hospice 5% Or Greater Direct Ownership Interest (100%) Apr 30, 2016
All Saints HospiceMansura, LA, CCN 191677 Hospice 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2021
Spring Valley Hospice of TupeloTupelo, MS, CCN 251702 Hospice 5% Or Greater Direct Ownership Interest (100%) Nov 17, 2015

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 151

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

View all 151

Practitioners & affiliated clinicians

Practitioners 2

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1306984364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 S BOWMAN RD STE A",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114136",
            "telephone_number": "501-558-4100",
            "fax_number": "501-221-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 S BOWMAN RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114136",
            "telephone_number": "501-558-4100",
            "fax_number": "501-221-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE HOME CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOSPICE HOME CARE, LLC",
        "enumeration_date": "2007-02-02",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "KOEPER",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-394-2100"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AR",
            "license": "AR0135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130800747",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice Home Care of Bryant",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hospice Home Care of Conway",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hospice Home Care of Hot Springs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hospice Home Care of Russellville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.