Southwest Arkansas Homecare, LLC
Organization Active NPI Home Health Agency · Nashville, AR
NPI 1881892404 · NPPES record last updated Sep 20, 2023
Key facts
- NPI
- 1881892404
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- AR4467 (AR)
- Legal business name
- SOUTHWEST ARKANSAS HOMECARE, LLC
- 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
- Organization subpart
- No
Authorized official
- Name
- Joshua L Proffitt
- Title
- President
- Phone
- (337) 233-1307
Owners & managing parties with NPI records 6
Member of 1
Facilities with the same owner 22
Practitioners 1
-
Shawn Beasley, D.C.
Affiliated clinicians 63
-
Dianna Sharae Barnes, FNP-C
-
William Brent Bennett, M. D.
-
Michelle Boone, DNP, APRN
-
Porscha Nicole Branch, FNP-BC
-
Charles Brian Caldwell, M.D.
-
Alana Kaye Day, APRN
-
Thomas A Fox, MD
-
Phillip Jay Glasgow II, M.D.
-
Dale E Goins, MD
-
Kelly Leshell Hardin, ANP, RN
-
Andrea K Heflin, APN
-
Jessica Houser, NP-C
-
John N Howell, PA
-
Matthew D Hulsey, D.O.
-
Daphne Lambert, CFNP
-
Ellen Dell Moreland, ACNS
-
Samuel Allen Nix, FNP
Medicare Care Compare: Home health agency
- Listed as
- Elite Home Health
- Overall star rating
- ★★★★☆ 3.5 of 5
- Ownership
- Proprietary
- Certified
- Oct 8, 1992
- 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 |
|---|---|---|---|
| 04D1077584 | Elite Home Health | Certificate of waiver | Dec 12, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
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
- LLC · Proprietary
- Incorporated
- May 31, 2007 in AR
- Enrollment address
- 614 S Main St
Ste 2
Nashville, AR 71852-2706
All disclosed owners & managing parties 10
| Name | Role | Since | Share |
|---|---|---|---|
| Arkansas Health Care Group LLC |
5% Or Greater Direct Ownership Interest | Jul 16, 2007 | 67% |
| Unitedhealth Group Incorporated |
5% Or Greater Indirect Ownership Interest | Feb 22, 2023 | 67% |
| Marcus Donavon Macip |
Corporate Officer |
Feb 22, 2023 | |
| Kimberly Seymour |
Corporate Officer |
Feb 22, 2023 | |
| Ronna Meece |
W-2 Managing Employee |
Jun 18, 2026 | 100% |
| Billie Mabery |
W-2 Managing Employee |
Feb 28, 2022 | |
| Wendy S Daigle |
Corporate Director |
Oct 1, 2022 | |
| LHC Group Inc |
5% Or Greater Indirect Ownership Interest | Oct 1, 2007 | 67% |
| Howard Memorial Hospital |
5% Or Greater Direct Ownership Interest | Jul 16, 2007 | 33% |
| Joshua Lee Proffitt |
Corporate Officer |
Aug 1, 2012 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080102000516 | AR | Part a Provider - Home Health Agency | 5799865838 | Practice locations: Nashville, AR; Texarkana, AR |
National Provider Directory
Locations
900 Leslie St
Ste 4
Nashville, AR 71852
Phone (870) 845-3127
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
4102 Jefferson Ave
Texarkana, AR 71854
Phone (870) 772-0958
1600 Arkansas Blvd
Ste 106
Texarkana, AR 71854
Phone (870) 774-5110
2215 Trinity Blvd
Texarkana, AR 71854
1305 Arkansas Blvd
Texarkana, AR 71854
Phone (870) 773-7246
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | AR4467 | AR | Yes |
| Nursing Care Agency | 251J00000X | AR | ||
| In Home Supportive Care Agency | 253Z00000X | |||
| Respite Care | 385H00000X |
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
- Elite Home Health
Other providers in Nashville, AR
- Joshua Cole Smith
- Laretta Smith
- Calista E. Snow
- Southwest Arkansas Counseling and Mental Health Center, Inc.
- Southwest Arkansas Furniture
- Southwest Chiropractic, Inc.
- Dawn Spigner
- State of Arkansas
- Adley Hutton Stewart
- Takela Stewart
All providers in Nashville, 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 Sep 20, 2023. 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.