Amedisys Arkansas, LLC

Organization Active NPI Home Health Agency · Van Buren, AR

NPI 1346208758 · NPPES record last updated Aug 31, 2026

Key facts

NPI
1346208758
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
AR4358 (AR)
Legal business name
AMEDISYS ARKANSAS, LLC
Practice address
117 Northridge Dr E Ste C
Van Buren, AR 72956-6983
Phone
(479) 474-4892
Fax
(479) 474-4179
NPI assigned
May 3, 2006
Organization subpart
No

Authorized official

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

Other NPIs with the same Medicare PAC ID 3

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

Corporate family (same tax ID) 2

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

Facilities with the same owner 150

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

View all 150

Affiliated clinicians 40

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

View all 40

Medicare Care Compare: Home health agency

Listed as
Adoration Home Health CCN 047010
Overall star rating
★★★★☆ 4 of 5
Ownership
Proprietary
Certified
Jun 10, 1978
Medicare certification status
Active (Provider of Services file)
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

Source: Medicare Care Compare.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D1015042Amedisys Home Health Care of Arkansas
117 Northridge Drie, Suite C, Van Buren, AR 72956
Certificate of waiverJul 21, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AR

Home health agency certification: CCN 047010

Legal name
AMEDISYS ARKANSAS, LLC
Doing business as
ADORATION HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 10, 1978
Last certification
Oct 2, 2017
Ownership / control type
Proprietary
Organization structure
LLC · Proprietary
Incorporated
May 16, 2003 in AR
Enrollment address
117 Northridge Dr
Ste C
Van Buren, AR 72956-6983

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Adoration Home Health Acquisitions, LLC
Organization · Louisville, KY
Created for acquisition, LLC, Holding company, For-profit, Owned by another organization or individual
5% Or Greater Direct Ownership Interest Dec 1, 2025 100%
Jennifer Phipps
Individual
Corporate Officer
Treasurer
Dec 1, 2025
Operational/Managerial Control
Manager
Dec 1, 2025
Adoration Home Health & Hospice Inc
Organization · Louisville, KY
Corporation, Holding company, For-profit, Owned by another organization or individual
5% Or Greater Indirect Ownership Interest Dec 1, 2025 100%
Allison Brown
Individual
Corporate Officer
Secretary
Dec 1, 2025
Operational/Managerial Control
Manager
Dec 1, 2025
Margaret Sherry Pemberton
Individual
Corporate Officer
Vice President
Dec 1, 2025
Operational/Managerial Control
Manager
Dec 1, 2025
Phoenix Guarantor Inc.
Organization · Louisville, KY
Corporation, Holding company, For-profit, Owned by another organization or individual
5% Or Greater Indirect Ownership Interest Dec 1, 2025 100%
Res-Care Inc
Organization · Louisville, KY
Corporation, Holding company, For-profit, Owned by another organization or individual
5% Or Greater Indirect Ownership Interest Dec 1, 2025 100%
Phoenix Intermediate Holdings Inc.
Organization · Louisville, KY
Corporation, Holding company, For-profit, Owned by another organization or individual
5% Or Greater Indirect Ownership Interest Dec 1, 2025 100%
Elizabeth Robinson
Individual
Corporate Officer
President
Dec 1, 2025
Operational/Managerial Control
Manager
Dec 1, 2025
Brightspring Health Services Inc
Organization · Louisville, KY
Corporation, Holding company, For-profit
5% Or Greater Indirect Ownership Interest Dec 1, 2025 100%
Adoration Home Health Care LLC
Organization · Louisville, KY
LLC, Holding company, For-profit, Owned by another organization or individual
5% Or Greater Indirect Ownership Interest Dec 1, 2025 100%
Brightspring Health Holdings Corp.
Organization · Louisville, KY
Corporation, Holding company, For-profit, Owned by another organization or individual
5% Or Greater Indirect Ownership Interest Dec 1, 2025 100%
Funika Hughes
Individual
W-2 Managing Employee
Ad;
May 3, 2021
Rescare Holdings Inc
Organization · Louisville, KY
Corporation, Holding company, For-profit, Owned by another organization or individual
5% Or Greater Indirect Ownership Interest Dec 1, 2025 100%

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031008000016 AR Part a Provider - Home Health Agency 1456263433 Practice locations: Van Buren, AR

National Provider Directory

Tax ID family
Amedisys Arkansas LLC (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X AR4358 AR Yes

Addresses

Primary practice location

117 Northridge Dr E Ste C
Van Buren, AR 72956-6983

Mailing address

117 Northridge Dr E Ste C
Van Buren, AR 72956-6983
Phone (225) 292-2031

Other identifiers

IdentifierTypeStateIssuer
152238514MedicaidAR

Other names

  • Adoration Home Health Doing business as
  • Amedisys Home Health Care of Arkansas Doing business as

Other providers in Van Buren, AR

All providers in Van Buren, AR · Home Health Agency in Arkansas

Sources for this page

Verify at the official NPI Registry.