NPIMap

Organization Active NPI

Stat Home Health - Cenark LLC

  • Home Health Agency
  • Little Rock, AR
National Provider Identifier
1912464009
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
STAT HOME HEALTH - CENARK LLC
Practice address
15104 Pride Valley Rd
Little Rock, AR 72223-4934
Phone
(501) 982-6115
NPI assigned
Feb 25, 2019
Last updated
Mar 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Authorized official

Name
Patrick Mitchell
Title
Manager
Phone
(501) 982-6115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

15104 Pride Valley Rd
Little Rock, AR 72223-4934

Mailing address

10615 Jefferson Hwy
Baton Rouge, LA 70809-7230
Phone (225) 368-3152

Other practice location 1

3537 N Steele Blvd Ste 110-128
Fayetteville, AR 72703-5627
Phone (501) 982-6115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190830000783 AR Part A Provider - Home Health Agency 6608104583 Practice locations: Little Rock, AR; Fayetteville, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912464009. Details of each certification follow.

Home health agency certification: CCN 047117

Legal name
STAT HOME HEALTH - CENARK LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 29, 1990
Last certification
Sep 25, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Feb 20, 2019 in LA
Enrollment address
15104 Pride Valley Rd
Little Rock, AR 72223-4934

Care Compare: Home health agency

Medicare Care Compare
Listed as
Stat Home Health - Cenark, LLCCCN 047117 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Mar 29, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, 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
04D0673308Stat Home Health - Cenark, LLC15104 Pride Valley Road, Little Rock, AR 72223Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

3537 N Steele Blvd
Ste 110128
Fayetteville, AR 72703
Phone (501) 982-6115

1410 Braden St
Jacksonville, AR 72076
Phone (501) 982-6115

15104 Pride Valley Rd
Little Rock, AR 72223
Phone (501) 982-6115

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Alexandra Rocker Individual W-2 Managing EmployeeAd; Sep 17, 2025
Patrick Thomas Mitchell Individual Operational/Managerial ControlManager Feb 20, 2019
Other Jul 18, 2025 1%
Kelly Mitchell Individual Other Dec 31, 2022
PCM Intermediate Holdings LLC Organization, Baton Rouge, LA LLC, Holding company 5% Or Greater Indirect Ownership Interest Jul 18, 2025 100%
Stat Home Health-Cenark Parent LLC Organization, Baton Rouge, LA Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Feb 20, 2019 100%
PTM 2018 Family Trust Organization, Baton Rouge, LA 5% Or Greater Indirect Ownership Interest Jul 18, 2025 99%
Emily Holleman Individual Other Dec 31, 2022
PCM Holdings I, Inc. Organization, Baton Rouge, LA Corporation, Holding company 5% Or Greater Indirect Ownership Interest Jul 18, 2025 100%
PCM Home Health Enterprises, LLC Organization, Baton Rouge, LA LLC 5% Or Greater Indirect Ownership Interest Jul 18, 2025 100%

Facilities with the same owner 35

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

View all 35

Change-of-ownership history 1

DateEventCounterparty
Mar 1, 2019 Change of OwnershipThis provider was the buyer North Metro Medical Center Home Health AgencyCCN 047117, AR, NPI 1013935121

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 71

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

View all 71

NPI Registry JSON

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1912464009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10615 JEFFERSON HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708097230",
            "telephone_number": "225-368-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15104 PRIDE VALLEY RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722234934",
            "telephone_number": "501-982-6115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3537 N Steele Blvd Ste 110-128",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727035627",
            "country_code": "US",
            "telephone_number": "501-982-6115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STAT HOME HEALTH - CENARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-25",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "501-982-6115"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.