Stat Home Health - Cenark LLC
Organization Active NPI Home Health Agency · Little Rock, AR
NPI 1912464009 · NPPES record last updated Mar 26, 2026
Key facts
- NPI
- 1912464009
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 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
- Organization subpart
- No
Authorized official
- Name
- Patrick Mitchell
- Title
- Manager
- Phone
- (501) 982-6115
Change of ownership 1
Facilities with the same owner 35
Affiliated clinicians 71
-
Melissa L. Alumbaugh, APN
-
Scott David Anderson, D.O.
-
Jennifer Lynne Arnold, APRN
-
Sarah Elizabeth Baker, APRN
-
Megan Elizabeth Ballard, MSN, APRN, FNP-BC
-
Michael Greggory Barden, M.D,
-
Michael P Berry, M.D.
-
Logan Bevill, MD
-
Ryan P Buffalo, M.D.
-
Madison Ashley Burks, PA-C
-
Michael Kenneth Clardy, DNP, AGACNP
-
William S Cole, M.D.
-
Steven Collier, MD
-
Norma Cornell, APRN FNP-C
-
Daniel S. Davidson, M.D.
-
John Richard Duke, M.D.
-
Arpana Edala, MD
-
Ted Michael Faro, DO
-
Brenda Jane Frisbie, M.D.
-
James R Fulmer Jr., M.D.
-
Benny J Green, M.D.
Medicare Care Compare: Home health agency
- Listed as
- Stat Home Health - Cenark, LLC
- Overall star rating
- ★★★☆☆ 2.5 of 5
- Ownership
- Proprietary
- Certified
- Mar 29, 1990
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Physical therapy, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D0673308 | Stat Home Health - Cenark, LLC | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
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
- LLC · Proprietary
- Incorporated
- Feb 20, 2019 in LA
- Enrollment address
- 15104 Pride Valley Rd
Little Rock, AR 72223-4934
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| Alexandra Rocker |
W-2 Managing Employee |
Sep 17, 2025 | |
| Patrick Thomas Mitchell |
Operational/Managerial Control |
Feb 20, 2019 | |
| Other | Jul 18, 2025 | 1% | |
| Kelly Mitchell |
Other | Dec 31, 2022 | |
| PCM Intermediate Holdings LLC |
5% Or Greater Indirect Ownership Interest | Jul 18, 2025 | 100% |
| Stat Home Health-Cenark Parent LLC |
5% Or Greater Direct Ownership Interest | Feb 20, 2019 | 100% |
| PTM 2018 Family Trust |
5% Or Greater Indirect Ownership Interest | Jul 18, 2025 | 99% |
| Emily Holleman |
Other | Dec 31, 2022 | |
| PCM Holdings I, Inc. |
5% Or Greater Indirect Ownership Interest | Jul 18, 2025 | 100% |
| PCM Home Health Enterprises, LLC |
5% Or Greater Indirect Ownership Interest | Jul 18, 2025 | 100% |
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| Mar 1, 2019 | Change of Ownership |
North Metro Medical Center Home Health Agency |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190830000783 | AR | Part a Provider - Home Health Agency | 6608104583 | Practice locations: Little Rock, AR; Fayetteville, AR |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
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
Other providers in Little Rock, AR
- Annlee Starks
- Dominique Starks
- Cherry Elizabeth Starling
- Harrison Ben Starnes
- Sonia Marie Stasyszyn
- State of Arkansas
- State of Arkansas
- State of Arkansas
- State of Arkansas
- State of Arkansas
All providers in Little Rock, 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 Mar 26, 2026. 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.