NPIMap

Organization Active NPI

CMC Home Health and Hospice LLC

  • Community Based Hospice Care Agency
  • Mountain Home, AR
National Provider Identifier
1497913339
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CMC HOME HEALTH AND HOSPICE LLC
Practice address
330 Highway 5 N
Suite 20
Mountain Home, AR 72653-3039
Phone
(870) 424-4000
Fax
(870) 424-4072
NPI assigned
May 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 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 1

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

Addresses

Primary practice location

330 Highway 5 N
Suite 20
Mountain Home, AR 72653-3039

Mailing address

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

Other names 1

  • Elite Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080818000552 AR Part A Provider - Hospice 6103991666 Practice locations: Mountain Home, AR

Hospice certification: CCN 041552

Legal name
CMC HOME HEALTH AND HOSPICE LLC
Doing business as
ELITE HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 19, 1996
Last certification
Mar 5, 2021
Ownership / control type
Proprietary - Other
Organization structure
LLCProprietary
Enrollment address
330 Highway 5 N
Ste 20
Mountain Home, AR 72653-3039

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Elite HospiceCCN 041552
Ownership
For-Profit
Certified
Apr 19, 1996
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
04D1089268Elite Hospice330 Highway 5 North, Suite 20, Mountain Home, AR 72653Certificate of waiverSep 14, 2026

National Provider Directory

National Provider Directory
Tax ID family
CMC Home Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Arkansas Health Care Group LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Feb 1, 2016 100%
Sara Woods Individual W-2 Managing EmployeeHospice Administrator/Dir Nursing Sep 15, 2021
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
Adam C Gray Individual W-2 Managing EmployeeHospice Medical Director Mar 1, 2024
Kimberly Seymour Individual Corporate OfficerCoo Apr 13, 2026
W-2 Managing Employee Apr 13, 2026
Joni Babineaux Individual Corporate OfficerCfo Apr 13, 2026
Wendy S Daigle Individual OtherDirector, Licensure & Regulatory Oct 1, 2022
LHC Group Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Feb 1, 2016 100%
Joshua Lee Proffitt Individual Corporate OfficerCeo Aug 1, 2012
Amy Cormier Individual Corporate DirectorDirector of Managed Care May 1, 2025

Owners & managing parties with NPI records 1

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

Facilities with the same owner 22

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

View all 22

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1497913339",
    "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": "337-233-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 HIGHWAY 5 N",
            "address_2": "SUITE 20",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533039",
            "telephone_number": "870-424-4000",
            "fax_number": "870-424-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMC HOME HEALTH AND HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-28",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "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": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountain Home, AR

Sources for this page

Verify at the official NPI Registry.