NPIMap

Organization Active NPI

Arkansas Homecare of Hot Springs, LLC

Doing business as Elite Home Health

  • Home Health Agency
  • Hot Springs, AR
National Provider Identifier
1790724102
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
AR4441 Issued in AR
Legal business name
ARKANSAS HOMECARE OF HOT SPRINGS, LLC
Doing business as
Elite Home Health
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
Last updated
Jan 5, 2024By the provider in NPPES
Organization subpart
No

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
Home Health Agency 251E00000X AR4441 AR Primary

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 2

IdentifierTypeStateIssuer
159879514MedicaidAR
17151OtherARARKANSAS 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
O20051230000599 AR Part A Provider - Home Health Agency 9436171683 Practice locations: Bryant, AR; Hot Springs, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790724102. Details of each certification follow.

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
LLCProprietary
Incorporated
Sep 30, 2005 in AR
Enrollment address
135 Amity Rd
Ste B
Hot Springs, AR 71913-2340

Care Compare: Home health agency

Medicare Care Compare
Listed as
Elite Home HealthCCN 047151 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Dec 10, 1993
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
04D1050341Elite Home Health135 Amity Road, Suite B, Hot Springs, AR 71913Certificate of waiverJan 31, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the 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

1820 Central Ave
Ste C
Hot Springs, AR 71901
Phone (501) 623-6000

3955 Central Ave
Ste 8
Hot Springs, AR 71913
Phone (501) 627-0540

835 Central Ave
Ste 301
Hot Springs, AR 71901
Phone (310) 227-5761

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 Apr 1, 2013 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
Kimberly Seymour Individual Corporate OfficerTreasurer Feb 22, 2023
Wendy S Daigle Individual OtherDirector, Licensure & Regulatory Oct 1, 2022
Kristine Green Individual W-2 Managing EmployeeAdministrator / Director of Nursing Mar 28, 2022
LHC Group Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Dec 1, 2005 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

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 116

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

View all 116

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1790724102",
    "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": "135 AMITY RD STE B",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719132340",
            "telephone_number": "501-627-0540",
            "fax_number": "501-627-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS HOMECARE OF HOT SPRINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "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": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AR",
            "license": "AR4441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159879514",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BLUE CROSS BLUE",
            "identifier": "17151",
            "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 Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.