NPIMap

Organization Active NPI

Home Health Professionals, Inc.

  • Home Health Agency
  • Blytheville, AR
National Provider Identifier
1609914464
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
AR3961 Issued in AR
Legal business name
HOME HEALTH PROFESSIONALS, INC.
Practice address
509 Hutson St
Blytheville, AR 72315-2415
Phone
(870) 762-1825
Fax
(870) 762-2299
NPI assigned
Feb 2, 2007
Last updated
Aug 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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

Authorized official

Name
Susan D Carter
Title
Owner
Phone
(870) 932-7630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X AR3961 AR Primary

Addresses

Primary practice location

509 Hutson St
Blytheville, AR 72315-2415

Mailing address

2222 Spence Cir
Jonesboro, AR 72401-7220
Phone (870) 932-7630

Other identifiers 2

IdentifierTypeStateIssuer
117156514MedicaidAR
17116OtherBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120717000403 AR Part A Provider - Home Health Agency 7315975398 Practice locations: Blytheville, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609914464. Details of each certification follow.

Home health agency certification: CCN 047116

Legal name
HOME HEALTH PROFESSIONALS INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 28, 1990
Last certification
Mar 6, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 13, 1990 in AR
Enrollment address
509 Hutson Street
Blytheville, AR 72315-2415

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
Home Health Professionals IncCCN 047116 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Mar 28, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Home Health Professionals Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

509 Hutson St
Blytheville, AR 72315
Phone (870) 762-1825

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Susan Carter Individual 5% Or Greater Direct Ownership Interest Mar 13, 1990
Corporate Officer Mar 13, 1990
Gina Wilson Individual W-2 Managing EmployeeAdministrator Mar 15, 1999 95%

Practitioners & affiliated clinicians

Practitioners 1

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 8

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": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375920000000",
    "number": "1609914464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 SPENCE CIR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017220",
            "telephone_number": "870-932-7630",
            "fax_number": "870-762-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 HUTSON ST",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723152415",
            "telephone_number": "870-762-1825",
            "fax_number": "870-762-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH PROFESSIONALS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2013-08-08",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-932-7630"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AR",
            "license": "AR3961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117156514",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "17116",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blytheville, AR

Sources for this page

Verify at the official NPI Registry.