NPIMap

Organization Active NPI

Southwest Arkansas Homecare, LLC

Doing business as Elite Home Health

  • Home Health Agency
  • Nashville, AR
National Provider Identifier
1881892404
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
AR4467 Issued in AR
Legal business name
SOUTHWEST ARKANSAS HOMECARE, LLC
Doing business as
Elite Home Health
Practice address
614 S Main St Ste 2
Nashville, AR 71852-2706
Phone
(870) 845-8206
Fax
(870) 451-9741
NPI assigned
Jul 5, 2007
Last updated
Sep 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X AR4467 AR Primary
Nursing Care Agency 251J00000X AR
Respite Care 385H00000X
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

614 S Main St Ste 2
Nashville, AR 71852-2706

Mailing address

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

Other practice location 1

132 Medical Cir
Suite 400
Nashville, AR 71852-8606
Phone (870) 845-8206

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
O20080102000516 AR Part A Provider - Home Health Agency 5799865838 Practice locations: Nashville, AR; Texarkana, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881892404. Details of each certification follow.

Home health agency certification: CCN 047138

Legal name
SOUTHWEST ARKANSAS HOMECARE, LLC
Doing business as
ELITE HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 8, 1992
Last certification
Jul 25, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
May 31, 2007 in AR
Enrollment address
614 S Main St
Ste 2
Nashville, AR 71852-2706

Care Compare: Home health agency

Medicare Care Compare
Listed as
Elite Home HealthCCN 047138 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Oct 8, 1992
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
04D1077584Elite Home Health614 S Main St, Nashville, AR 71852Certificate of waiverDec 12, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

132 Medical Cir
Ste 400
Nashville, AR 71852
Phone (870) 845-8206

614 S Main St
Ste 2
Nashville, AR 71852
Phone (870) 845-8206

1600 Arkansas Blvd
Ste 106
Texarkana, AR 71854
Phone (870) 774-5110

2215 Trinity Blvd
Texarkana, AR 71854

Ownership & related parties

All disclosed owners & managing parties 10

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 Jul 16, 2007 67%
Unitedhealth Group Incorporated Organization, Minnetonka, MN Corporation 5% Or Greater Indirect Ownership Interest Feb 22, 2023 67%
Marcus Donavon Macip Individual Corporate OfficerSecretary Feb 22, 2023
Kimberly Seymour Individual Corporate OfficerTreasurer Feb 22, 2023
Ronna Meece Individual W-2 Managing EmployeeClinical Director Jun 18, 2026 100%
Billie Mabery Individual W-2 Managing EmployeeAdministrator / Director of Nursing Feb 28, 2022
Wendy S Daigle Individual Corporate DirectorDirector, Licensure & Regulatory Oct 1, 2022
LHC Group Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Oct 1, 2007 67%
Howard Memorial Hospital Organization, Nashville, AR Corporation 5% Or Greater Direct Ownership Interest Jul 16, 2007 33%
Joshua Lee Proffitt Individual Corporate OfficerCeo Aug 1, 2012

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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 63

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

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1881892404",
    "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": "614 S MAIN ST STE 2",
            "city": "NASHVILLE",
            "state": "AR",
            "postal_code": "718522706",
            "telephone_number": "870-845-8206",
            "fax_number": "870-451-9741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "132 Medical Cir",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "AR",
            "postal_code": "718528606",
            "country_code": "US",
            "telephone_number": "870-845-8206",
            "fax_number": "870-451-9741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHWEST ARKANSAS HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "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": "AR4467",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "AR",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Nashville, AR

Sources for this page

Verify at the official NPI Registry.