NPIMap

Organization Active NPI

Arkansas Homecare of Forrest City, LLC

Doing business as Elite Home Health

  • Home Health Agency
  • Forrest City, AR
National Provider Identifier
1609821982
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
AR4442 Issued in AR
Legal business name
ARKANSAS HOMECARE OF FORREST CITY, LLC
Doing business as
Elite Home Health
Practice address
4200 N Washington St Ste 1
Forrest City, AR 72335-7672
Phone
(870) 261-0188
Fax
(870) 261-0177
NPI assigned
May 24, 2006
Last updated
Dec 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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
Home Health Agency 251E00000X AR4442 AR Primary

Addresses

Primary practice location

4200 N Washington St Ste 1
Forrest City, AR 72335-7672

Mailing address

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

Other practice location 1

300 Eldridge Rd Ste 7
Forrest City, AR 72335-9516
Phone (870) 261-0188

Other practice location 2

3105 N Washington St
Suite 7
Forrest City, AR 72335-9578
Phone (870) 261-0188

Other identifiers 2

IdentifierTypeStateIssuer
162947514MedicaidAR
17128OtherARARKANSAS BLUE CROSS BLUE

Other names 1

  • Elite Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060809000282 AR Part A Provider - Home Health Agency 7517960784 Practice locations: Forrest City, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609821982. Details of each certification follow.

Home health agency certification: CCN 047128

Legal name
ARKANSAS HOMECARE OF FORREST CITY, LLC
Doing business as
ELITE HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 1, 1991
Last certification
Aug 21, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Apr 24, 2006 in AR
Enrollment address
4200 N Washington Street
Suite 1
Forrest City, AR 72335-7672

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: Home health agency

Medicare Care Compare
Listed as
Elite Home HealthCCN 047128 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jul 1, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical therapy, Occupational therapy

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
04D1061739Elite Home Health4200 N Washington Street, Suite 1, Forrest City, AR 72335Certificate of waiverNov 27, 2026

National Provider Directory

National Provider Directory
Tax ID family
Acmc Family 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 8

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 Jun 1, 2006 100%
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
Jessica R Armstrong Individual W-2 Managing EmployeeAdministrator / Director of Nursing Dec 4, 2023
Kimberly Seymour Individual Corporate OfficerTreasurer Feb 22, 2023
Wendy S Daigle Individual OtherDirector, Licensure & Regulatory Oct 1, 2022
LHC Group Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Jun 1, 2006 100%
Joshua Lee Proffitt Individual Corporate OfficerCeo Aug 1, 2012

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 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1609821982",
    "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": "4200 N WASHINGTON ST STE 1",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723357672",
            "telephone_number": "870-261-0188",
            "fax_number": "870-261-0177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Eldridge Rd Ste 7",
            "address_purpose": "LOCATION",
            "city": "Forrest City",
            "state": "AR",
            "postal_code": "723359516",
            "country_code": "US",
            "telephone_number": "870-261-0188",
            "fax_number": "870-261-0177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3105 N Washington St",
            "address_2": "Suite 7",
            "address_purpose": "LOCATION",
            "city": "Forrest City",
            "state": "AR",
            "postal_code": "723359578",
            "country_code": "US",
            "telephone_number": "870-261-0188",
            "fax_number": "870-261-0177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARKANSAS HOMECARE OF FORREST CITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "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": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AR",
            "license": "AR4442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162947514",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BLUE CROSS BLUE",
            "identifier": "17128",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forrest City, AR

Sources for this page

Verify at the official NPI Registry.