NPIMap

Organization Active NPI

Heart of Hospice LLC

  • Community Based Hospice Care Agency
  • Fort Smith, AR
National Provider Identifier
1619457181
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HEART OF HOSPICE LLC
Practice address
1401 S Waldron Rd Ste 201
Fort Smith, AR 72903-2590
Phone
(479) 494-0100
Fax
(479) 494-0411
NPI assigned
Aug 15, 2018
Last updated
Jan 5, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
HEART OF HOSPICE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 5, 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

1401 S Waldron Rd Ste 201
Fort Smith, AR 72903-2590

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181026001824 AR Part A Provider - Hospice 6800119298 Practice locations: Fort Smith, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619457181. Details of each certification follow.

Hospice certification: CCN 041547

Legal name
HEART OF HOSPICE, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 25, 1995
Last certification
Jan 27, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
May 30, 2014 in SC
Enrollment address
1401 S Waldron Rd
Ste 201
Fort Smith, AR 72903-2590

Other NPIs with the same Medicare PAC ID 12

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Heart of Hospice, LLCCCN 041547 · All quality measures
Ownership
For-Profit
Certified
Apr 25, 1995
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
04D0898050Heart of Hospice LLC1401 South Waldron Road Suite 201, Fort Smith, AR 72903Certificate of waiverFeb 21, 2027

National Provider Directory

National Provider Directory
Tax ID family
Heart of Hospice LLC17 organizations share this tax ID, including this one
Part of
Heart of Hospice LLC

Other organizations with this tax ID 16

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

View all 16

Locations

1401 S Waldron Rd
Ste 201
Fort Smith, AR 72903
Phone (479) 396-4082

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
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
Sheila D Brown Individual W-2 Managing EmployeeAdministrator / Director of Nursing Sep 1, 2021
Kimberly Seymour Individual Corporate OfficerTreasurer Feb 22, 2023
Chansamone Phomakay Individual Contracted Managing EmployeeMD; Jan 1, 2024
Wendy S Daigle Individual OtherDirector, Licensure & Regulatory Oct 1, 2022
LHC Group Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Sep 1, 2021 100%
Joshua Lee Proffitt Individual Corporate OfficerCeo Sep 1, 2021
Louisiana Health Care Group LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Sep 1, 2021 100%

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 44

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

View all 44

Change-of-ownership history 1

DateEventCounterparty
Aug 1, 2018 Change of OwnershipThis provider was the buyer Hospice Peachtree LLCCCN 041547, AZ, NPI 1275513129

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

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": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1619457181",
    "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": "334-443-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S WALDRON RD STE 201",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729032590",
            "telephone_number": "479-494-0100",
            "fax_number": "479-494-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF HOSPICE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEART OF HOSPICE LLC",
        "enumeration_date": "2018-08-15",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "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": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.