NPIMap

Organization Active NPI

Area Agency on Aging of Western Arkansas, Inc

  • Community Based Hospice Care Agency
  • Mena, AR
National Provider Identifier
1386601706
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
0173 Issued in AR
Legal business name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Practice address
600 7TH St
Mena, AR 71953-3205
Phone
(479) 394-5458
Fax
(855) 515-7414
NPI assigned
Apr 28, 2006
Last updated
Jul 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Authorized official

Name
Dana Callaway
Title
Cfo
Phone
(479) 424-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 0173 AR Primary

Addresses

Primary practice location

600 7TH St
Mena, AR 71953-3205

Mailing address

PO Box 1724
Fort Smith, AR 72902-1724
Phone (479) 783-4500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070201000017 AR Part A Provider - Hospice 5991707127 2 other NPIs on this enrollment
Practice locations: Mena, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386601706. Details of each certification follow.

Hospice certification: CCN 041515

Legal name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Doing business as
VISITING NURSES AGENCY OF WESTERN ARKANSAS INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 26, 1989
Last certification
Jul 19, 2019
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationNon-profit
Incorporated
Jun 21, 1979 in AR
Enrollment address
600 7TH St
Mena, AR 71953-3205

Other NPIs with the same Medicare PAC ID 5

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: Hospice

Medicare Care Compare
Listed as
Visiting Nurses Agency of Western Arkansas IncCCN 041515 · All quality measures
Ownership
Non-Profit
Certified
Oct 26, 1989
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Hartford Medical Clinic23 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Jim Petty Individual Corporate DirectorBoard Member Oct 22, 2020
Ricky R Green Individual Corporate DirectorBoard Member Jul 25, 2019
Candice Settle Individual Corporate DirectorBoard Member Feb 25, 2021
Robert Herrera Individual Corporate DirectorBoard Member Apr 27, 2017
Jake Sibley Individual Corporate Officer2ND Vice Chairperson Jan 28, 2021
Jennifer Hallum Individual Corporate OfficerCeo/President Sep 3, 2015
W-2 Managing EmployeeCeo Sep 3, 2015
Phillip Merry Individual Corporate Officer1St Vice Chairperson/Sec-Treasurer Jan 28, 2021
Sharon Brooks Individual Corporate DirectorBoard Member Feb 23, 2011
Dana Callaway Individual Corporate OfficerChief Financial Officer Jun 22, 2016
W-2 Managing EmployeeChief Financial Officer Jun 22, 2016
Mont Sagely Individual Corporate DirectorBoard Member Feb 23, 2023
Doug Kinslow Individual Corporate DirectorBoard Member Apr 27, 2017
T.R. McNutt Individual Corporate OfficerChairman of the Board Jan 28, 2021

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Visiting Nurses Agency of Western Arkansas, IncMena, AR, CCN 047162 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jun 23, 1977
Area Agency on Aging of Western Arkansas, IncParis, AR, CCN 047156 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jun 20, 1979
Area Agency on Aging of Western Arkansas, IncFort Smith, AR, CCN 047034 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jun 20, 1979

Owned or controlled facilities with NPI records 6

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

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1386601706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1724",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729021724",
            "telephone_number": "479-783-4500",
            "fax_number": "855-515-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 7TH ST",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719533205",
            "telephone_number": "479-394-5458",
            "fax_number": "855-515-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A",
        "authorized_official_last_name": "CALLAWAY",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "479-424-2020"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AR",
            "license": "0173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mena, AR

Sources for this page

Verify at the official NPI Registry.