NPIMap

Organization Active NPI

Mena Medical Center Home Health, LLC

Doing business as Elite Home Health

  • Home Health Agency
  • Mena, AR
National Provider Identifier
1649354960
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
AR5123 Issued in AR
Legal business name
MENA MEDICAL CENTER HOME HEALTH, LLC
Doing business as
Elite Home Health
Practice address
605 Magnolia Ave
Mena, AR 71953-3009
Phone
(479) 394-1812
Fax
(479) 394-1929
NPI assigned
Oct 24, 2006
Last updated
Jan 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X AR4410 AR
Home Health Agency 251E00000X AR5123 AR Primary

Addresses

Primary practice location

605 Magnolia Ave
Mena, AR 71953-3009

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
159676514MedicaidAR
17133OtherARARKANSAS 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
O20050829000171 AR Part A Provider - Home Health Agency 6002857505 Practice locations: Mena, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649354960. Details of each certification follow.

Home health agency certification: CCN 047133

Legal name
MENA MEDICAL CENTER HOME HEALTH, LLC
Doing business as
ELITE HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 3, 1991
Last certification
Sep 6, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
605 Magnolia Ave
Mena, AR 71953-3009

Care Compare: Home health agency

Medicare Care Compare
Listed as
Elite Home HealthCCN 047133 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Sep 3, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, 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
04D0699025Elite Home Health605 Magnolia Avenue, Mena, AR 71953Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

1201 Mena St
Ste 2
Mena, AR 71953
Phone (479) 394-1812

601 Highway 71 N
Ste Bb
Mena, AR 71953
Phone (479) 394-1134

605 Magnolia Ave
Mena, AR 71953
Phone (479) 394-1812

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 Mar 9, 2009 100%
Unitedhealth Group Incorporated Organization, Minnetonka, MN Corporation 5% Or Greater Indirect Ownership Interest Feb 22, 2023 100%
Melinda Wise Individual W-2 Managing EmployeeAdministrator/Director of Nursing Jul 23, 2017
Operational/Managerial ControlAdministrator/Director of Nursing Jul 23, 2017
Marcus Donavon Macip Individual Corporate OfficerSecretary Feb 22, 2023
Kimberly Seymour Individual Corporate OfficerCoo Feb 22, 2023
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, Chain home office 5% Or Greater Indirect Ownership Interest Jul 1, 2005 100%
Joshua Lee Proffitt Individual Corporate OfficerCeo Aug 1, 2012
Unitedhealth Group Incorporated Organization, Minnetonka, MN Corporation 5% Or Greater Direct Ownership Interest Feb 22, 2023
Amy Cormier Individual Corporate DirectorDirector of Managed Care May 1, 2025

Facilities with the same owner 25

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

View all 25

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": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1649354960",
    "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": "605 MAGNOLIA AVE",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719533009",
            "telephone_number": "479-394-1812",
            "fax_number": "479-394-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENA MEDICAL CENTER HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "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": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AR",
            "license": "AR4410",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AR",
            "license": "AR5123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159676514",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BLUE CROSS BLUE",
            "identifier": "17133",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elite Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mena, AR

Sources for this page

Verify at the official NPI Registry.