Hospice Home Care of Pine Bluff, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

AR4338 Issued in AR

Legal business name

HOSPICE HOME CARE OF PINE BLUFF, LLC

Practice address

7197 Sheridan Rd Ste 101
White Hall, AR 71602-3261

Phone

(870) 540-0727

Fax

(501) 540-0072

NPI assigned

Feb 2, 2007

Last updated

Aug 13, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

HOSPICE HOME CARE OF PINE BLUFF, LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jay Koeper

Title

President

Phone

(502) 394-2100

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912045899. Details of each certification follow.

• CCN 041519 Hospice · Active · Details

Hospice certification: CCN 041519

Legal name

HOSPICE HOME CARE OF PINE BLUFF, LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 9, 1991

Last certification

Dec 6, 2019

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Oct 14, 2003 in AR

Enrollment address

7197 Sheridan Rd
Ste 113
White Hall, AR 71602-3261

Listed as

Hospice Home Care of Pine Bluff PLLCCCN 041519 · All quality measures

Ownership

For-Profit

Certified

May 9, 1991

Medicare certification status

ActiveFrom the Provider of Services file

Part of

Hospice Home Care of Pine Bluff LLC

Member of 3

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

• Hospice Home Care, LLC

  dba Hospice Home Care of Bryant

  • Community Based Hospice Care Agency
  • Little Rock, AR
  • NPI 1306984364

  Member Of

  NPD member
• Jefferson Hospital Association, Inc

  dba Jefferson Regional Monticello Medical Clinic

  • Rural Health Clinic/Center
  • Monticello, AR
  • NPI 1821749946

  Member Of

  NPD member
• Walgreen Co

  dba Walgreens #07319

  • Pharmacy
  • Adrian, MI
  • NPI 1487669529

  Member Of

  NPD member

Locations

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

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

• Hospice Home Care, LLC

  dba Hospice Home Care of Monticello

  • Community Based Hospice Care Agency
  • Monticello, AR
  • NPI 1114065018

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Hospice Home Care, LLC

  dba Hospice Home Care of Bryant

  • Community Based Hospice Care Agency
  • Little Rock, AR
  • NPI 1306984364

  5% Or Greater Direct Ownership Interest

  CMS ownership

Facilities with the same owner 151

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

• Amedisys Arkansas, L.L.C.

  dba Adoration Home Health

  • Home Health Agency
  • De Queen, AR
  • NPI 1093742066

  Brightspring Health Holdings Corp, Brightspring Health Services Inc, Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc

  CMS ownership
• Amedisys Arkansas, L.L.C.

  dba Adoration Home Health

  • Home Health Agency
  • Batesville, AR
  • NPI 1821040312

  Brightspring Health Services Inc, Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc

  CMS ownership
• Amedisys Arkansas, LLC

  dba Adoration Home Health

  • Home Health Agency
  • Van Buren, AR
  • NPI 1346208758

  Brightspring Health Services Inc, Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc

  CMS ownership
• Hospice Home Care, LLC

  dba Hospice Home Care of Monticello

  • Community Based Hospice Care Agency
  • Monticello, AR
  • NPI 1114065018

  Abode Healthcare, Inc., Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Silverton Abode Holding C

  CMS ownership
• Hospice Home Care, LLC

  dba Hospice Home Care of Bryant

  • Community Based Hospice Care Agency
  • Little Rock, AR
  • NPI 1306984364

  Abode Healthcare, Inc., Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Silverton Abode Holding C

  CMS ownership
• Uams Health Comprehensive Care at Home, LLC

  dba UAMS Health - Home Health

  • Home Health Agency
  • Searcy, AR
  • NPI 1821295346

  Brightspring Health Services Inc, Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc

  CMS ownership
• Abilishealth Brownsville, LLC

  dba Adoration Home Health Brownsville

  • Home Health Agency
  • Brownsville, TN
  • NPI 1639659675

  Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Walgreens Holding Company

  CMS ownership
• Abilishealth Knoxville, LLC

  dba Adoration Home Health

  • Home Health Agency
  • Knoxville, TN
  • NPI 1255811295

  Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc

  CMS ownership
• Abilishealth Martin, LLC

  dba Adoration Home Health Martin

  • Home Health Agency
  • Martin, TN
  • NPI 1093295040

  Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Walgreen Co, Walgreens Holding Company

  CMS ownership
• Abilishealth McMinnville, LLC

  dba Adoration Home Health McMinnville

  • Home Health Agency
  • McMinnville, TN
  • NPI 1275013229

  Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Walgreen Co, Walgreens Holding Company

  CMS ownership
• Abilishealth Nashville, LLC

  dba Adoration Home Health Nashville South

  • Home Health Agency
  • Brentwood, TN
  • NPI 1346720398

  Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Walgreen Co, Walgreens Holding Company

  CMS ownership
• Abode Healthcare Colorado, Inc

  dba Abode Hospice of Colorado

  • Community Based Hospice Care Agency
  • Colorado Springs, CO
  • NPI 1326459025

  Abode Healthcare, Inc., Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Silverton Abode Holding C

  CMS ownership

Affiliated clinicians 2

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

• Marion E Hord, M.D.

  • Family Medicine Physician
  • Stuttgart, AR
  • NPI 1235194481

  Hospice

  Care Compare affiliation
• Naznin Jamal, MD

  • Internal Medicine Physician
  • Pine Bluff, AR
  • NPI 1083873590

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1912045899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 S BOWMAN RD STE A",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114136",
            "telephone_number": "501-558-4100",
            "fax_number": "501-221-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7197 SHERIDAN RD STE 101",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716023261",
            "telephone_number": "870-540-0727",
            "fax_number": "501-540-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE HOME CARE OF PINE BLUFF, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOSPICE HOME CARE OF PINE BLUFF, LLC",
        "enumeration_date": "2007-02-02",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "KOEPER",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-394-2100"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AR",
            "license": "AR4338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156648747",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rafeek Hegazy
• Meketia Henderson, LMFT
• Tenesha Hill, QBHP
• Home Medical, Inc
• Christopher Ray Howard
• Kara Leanne Huffty, LPN
• Donna Suzette Ingersoll, MMT
• Interventional Surgery Institute of White Hall LLC
• Donna Isom

• Community Based Hospice Care Agency in White Hall, AR
• Providers in White Hall, AR by specialty
• Community Based Hospice Care Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.