Arkansas Homecare of Hot Springs, LLC
Organization Active NPI Home Health Agency · Hot Springs, AR
NPI 1790724102 · NPPES record last updated Jan 5, 2024
Key facts
- NPI
- 1790724102
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- AR4441 (AR)
- Legal business name
- ARKANSAS HOMECARE OF HOT SPRINGS, LLC
- Practice address
- 135 Amity Rd Ste B
Hot Springs, AR 71913-2340 - Phone
- (501) 627-0540
- Fax
- (501) 627-0513
- NPI assigned
- Jun 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Joshua L Proffitt
- Title
- President
- Phone
- (337) 233-1307
Member of 1
Facilities with the same owner 22
Practitioners 1
-
Shiela Gerasimenko, PT DPT
Affiliated clinicians 116
-
Halah Al-Dadah, M.D.
-
Mark E Albey, M.D.
-
Scott David Anderson, D.O.
-
Jessica Renee Archer, FNP
-
Seth M Barnes, MD
-
Pamela Ann Bates, APRN
-
Amy M Bennett, APN
-
Mandi E Bohlen, APRN
-
Altimus Ray Bollen, M.D.
-
Amber Nicole Brandon, APRN
-
Shelly C Bray, M.D.
-
Jim Ed Brewer, M.D.
-
James Scott Bridges, M.D.
-
Bobbi Lynn Brumley, APRN
-
Brandon M Byrd, MD
-
Hunter K Carrington, M.D.
-
Evelyn L Cathcart, M.D.
-
Lingyi Chen, M.D.
-
Marcus Yee Chu, M.D.
Medicare Care Compare: Home health agency
- Listed as
- Elite Home Health
- Overall star rating
- ★★★☆☆ 3 of 5
- Ownership
- Proprietary
- Certified
- Dec 10, 1993
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D1050341 | Elite Home Health | Certificate of waiver | Jan 31, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Home health agency certification: CCN 047151
- Legal name
- ARKANSAS HOMECARE OF HOT SPRINGS, LLC
- Doing business as
- ELITE HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Dec 10, 1993
- Last certification
- Jul 20, 2018
- Ownership / control type
- Proprietary
- Organization structure
- LLC · Proprietary
- Incorporated
- Sep 30, 2005 in AR
- Enrollment address
- 135 Amity Rd
Ste B
Hot Springs, AR 71913-2340
All disclosed owners & managing parties 8
| Name | Role | Since | Share |
|---|---|---|---|
| Arkansas Health Care Group LLC |
5% Or Greater Direct Ownership Interest | Apr 1, 2013 | 100% |
| Unitedhealth Group Incorporated |
5% Or Greater Indirect Ownership Interest | Feb 22, 2023 | 100% |
| Marcus Donavon Macip |
Corporate Officer |
Feb 22, 2023 | |
| Kimberly Seymour |
Corporate Officer |
Feb 22, 2023 | |
| Wendy S Daigle |
Other |
Oct 1, 2022 | |
| Kristine Green |
W-2 Managing Employee |
Mar 28, 2022 | |
| LHC Group Inc |
5% Or Greater Indirect Ownership Interest | Dec 1, 2005 | 100% |
| Joshua Lee Proffitt |
Corporate Officer |
Aug 1, 2012 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051230000599 | AR | Part a Provider - Home Health Agency | 9436171683 | Practice locations: Bryant, AR; Hot Springs, AR |
National Provider Directory
Locations
22461 Interstate 30 S
Ste 1000
Bryant, AR 72022
Phone (501) 776-1814
3417 Market Place Ave
Ste 300
Bryant, AR 72022
135 Amity Rd
Ste B
Hot Springs, AR 71913
Phone (501) 627-0540
835 Central Ave
Ste 301
Hot Springs, AR 71901
Phone (310) 227-5761
3955 Central Ave
Ste 8
Hot Springs, AR 71913
Phone (501) 627-0540
1820 Central Ave
Ste C
Hot Springs, AR 71901
Phone (501) 623-6000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | AR4441 | AR | Yes |
Addresses
Primary practice location
135 Amity Rd Ste B
Hot Springs, AR 71913-2340
Mailing address
PO Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 159879514 | Medicaid | AR | |
| 17151 | Other | AR | ARKANSAS BLUE CROSS BLUE |
Other names
- Elite Home Health
Other providers in Hot Springs, AR
- Arkansas Family Home Care LLC
- Arkansas Gastroenterology Endoscopy Center
- Arkansas Healthcare Services LLC
- Arkansas Home Health Providers, LLC
- Arkansas Home Medical
- Arkansas Kids Therapy Inc
- Arkansas Liver and Gastroenterology, P.a.
- Arkansas Mountain Consultants and Counseling
- Arkansas Nephrology Services, LTD
- Arkansas Nephrology Services, LTD.
All providers in Hot Springs, AR · Home Health Agency in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.