Organization Active NPI

Affinity Hospice Arkansas, LLC

Doing business as Affinity Hospice

  • Community Based Hospice Care Agency
  • White Hall, AR
National Provider Identifier
1932874757
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
AFFINITY HOSPICE ARKANSAS, LLC
Doing business as
Affinity Hospice
Practice address
201 Frankie LN
White Hall, AR 71602-2683
Phone
(870) 534-4847
NPI assigned
Aug 13, 2021
Last updated
Oct 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Authorized official

Name
Mr. Christopher Smith
Title
Ceo
Phone
(205) 949-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

201 Frankie LN
White Hall, AR 71602-2683

Mailing address

135 Gemini Cir Ste 202
Birmingham, AL 35209-5842
Phone (205) 949-0400

Other names 1

  • Affinity Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211104001205 AR Part A Provider - Hospice 3072901446 Practice locations: White Hall, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932874757. Details of each certification follow.

Hospice certification: CCN 041560

Legal name
AFFINITY HOSPICE ARKANSAS LLC
Doing business as
AFFINITY HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 27, 1996
Last certification
Apr 5, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Enrollment address
201 - 203 Frankie LN
White Hall, AR 71602-9014

Care Compare: Hospice

Medicare Care Compare
Listed as
Affinity HospiceCCN 041560 · All quality measures
Ownership
For-Profit
Certified
Sep 27, 1996
Medicare certification status
ActiveFrom the Provider of Services file

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
04D2247946Affinity Hospice201 Frankie Lane, White Hall, AR 71602Certificate of waiverJan 10, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Ray L Shrout Individual 5% Or Greater Indirect Ownership Interest Jul 12, 2021 11.8%
Kimberly Rachelle Willis Individual W-2 Managing EmployeeMD; Jul 1, 2025 100%
LLR VI LL-Ah LP Organization, Philadelphia, PA Holding company 5% Or Greater Indirect Ownership Interest Nov 4, 2022 15.8%
LLR LP Co-Invest VI-Ah LLC Organization, Philadelphia, PA LLC 5% Or Greater Indirect Ownership Interest Nov 4, 2022 9.5%
LLR Equity Partners VI, LP Organization, Philadelphia, PA Holding company 5% Or Greater Indirect Ownership Interest Nov 4, 2022 35.6%
Affinity Hospice Intermediate Holdings LLC Organization, Birmingham, AL LLC, Holding company 5% Or Greater Indirect Ownership Interest Dec 17, 2021 100%
Tenecia Anne Mills Individual W-2 Managing EmployeeAd; Apr 25, 2024 100%
Christopher Smith Individual Corporate OfficerCeo Sep 29, 2025 100%
W-2 Managing EmployeeCeo Sep 29, 2025 100%
Fosh Holdings LLC Organization, Key Largo, FL LLC, Holding company 5% Or Greater Indirect Ownership Interest Nov 4, 2022 11.8%
Dragonfly Finance Holdco LLC Organization, Birmingham, AL LLC, Holding company 5% Or Greater Indirect Ownership Interest Nov 4, 2022 100%
Adam C Cruse Individual Corporate OfficerChief Financial Officer Jul 15, 2024 100%
W-2 Managing Employee Jul 15, 2024 100%
Go IV Equalization (Eci) LP Organization, New York, NY Holding company 5% Or Greater Indirect Ownership Interest Nov 4, 2022 9.4%
LLR VI-Ah LLC Organization, Philadelphia, PA LLC, Holding company 5% Or Greater Indirect Ownership Interest Nov 4, 2022 35.6%
Affinity Hospice Holdings, LLC Organization, Birmingham, AL LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 17, 2021 100%
LLR Equity Partners International VI LP Organization, Philadelphia, PA Holding company 5% Or Greater Indirect Ownership Interest Nov 4, 2022 15.8%
Affinity Hospice Ultimate Holdings LLC Organization, Birmingham, AL LLC, Holding company 5% Or Greater Indirect Ownership Interest Nov 4, 2022 100%
LLR Equity Partners VI Co-Invest LP Organization, Philadelphia, PA Holding company 5% Or Greater Indirect Ownership Interest Nov 4, 2022 9.5%
Franklin Park Co-Investment Fund V LP Organization, Bala Cynwyd, PA 5% Or Greater Indirect Ownership Interest Nov 4, 2022 6.2%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 11

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

Change-of-ownership history 1

DateEventCounterparty
Aug 14, 2021 Change of OwnershipThis provider was the buyer Hospice AngelsCCN 041560, AR, NPI 1851379507

Change of ownership 1

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1932874757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 GEMINI CIR STE 202",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095842",
            "telephone_number": "205-949-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 FRANKIE LN",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716022683",
            "telephone_number": "870-534-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY HOSPICE ARKANSAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-13",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-949-0400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affinity Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in White Hall, AR

Sources for this page

Verify at the official NPI Registry.