Active NPI
Affinity Hospice Arkansas, LLC
Doing business as Affinity Hospice
- Community Based Hospice Care Agency
- White Hall, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- Enrollment address
- 201 - 203 Frankie LN
White Hall, AR 71602-9014
Care Compare: Hospice
Medicare Care Compare- Listed as
- Affinity Hospice
- Ownership
- For-Profit
- Certified
- Sep 27, 1996
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D2247946 | Affinity Hospice | Certificate of waiver | Jan 10, 2028 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Ray L Shrout | 5% Or Greater Indirect Ownership Interest | Jul 12, 2021 | 11.8% |
| Kimberly Rachelle Willis | W-2 Managing Employee | Jul 1, 2025 | 100% |
| LLR VI LL-Ah LP | 5% Or Greater Indirect Ownership Interest | Nov 4, 2022 | 15.8% |
| LLR LP Co-Invest VI-Ah LLC | 5% Or Greater Indirect Ownership Interest | Nov 4, 2022 | 9.5% |
| LLR Equity Partners VI, LP | 5% Or Greater Indirect Ownership Interest | Nov 4, 2022 | 35.6% |
| Affinity Hospice Intermediate Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 17, 2021 | 100% |
| Tenecia Anne Mills | W-2 Managing Employee | Apr 25, 2024 | 100% |
| Christopher Smith | Corporate Officer | Sep 29, 2025 | 100% |
| W-2 Managing Employee | Sep 29, 2025 | 100% | |
| Fosh Holdings LLC | 5% Or Greater Indirect Ownership Interest | Nov 4, 2022 | 11.8% |
| Dragonfly Finance Holdco LLC | 5% Or Greater Indirect Ownership Interest | Nov 4, 2022 | 100% |
| Adam C Cruse | Corporate Officer | Jul 15, 2024 | 100% |
| W-2 Managing Employee | Jul 15, 2024 | 100% | |
| Go IV Equalization (Eci) LP | 5% Or Greater Indirect Ownership Interest | Nov 4, 2022 | 9.4% |
| LLR VI-Ah LLC | 5% Or Greater Indirect Ownership Interest | Nov 4, 2022 | 35.6% |
| Affinity Hospice Holdings, LLC | 5% Or Greater Indirect Ownership Interest | Dec 17, 2021 | 100% |
| LLR Equity Partners International VI LP | 5% Or Greater Indirect Ownership Interest | Nov 4, 2022 | 15.8% |
| Affinity Hospice Ultimate Holdings LLC | 5% Or Greater Indirect Ownership Interest | Nov 4, 2022 | 100% |
| LLR Equity Partners VI Co-Invest LP | 5% Or Greater Indirect Ownership Interest | Nov 4, 2022 | 9.5% |
| Franklin Park Co-Investment Fund V LP | 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.
-
- Hospitalist Physician
- Pine Bluff, AR
- NPI 1487852562
W-2 Managing Employee
Facilities with the same owner 11
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Affinity Hospice
- Community Based Hospice Care Agency
- Marietta, GA
- NPI 1235654039
Affinity Hospice Holdings, LLC, Affinity Hospice Intermediate Holdings LLC, Affinity Hospice Ultimate Holdings LLC, Dragonfly Finance Holdco LLC, Fosh Holdings LLC, Franklin Park Co-Investment Fund V LP, Go IV Equalization (Eci) LP, LLR Equity Part
-
dba Affinity Hospice
- Community Based Hospice Care Agency
- Birmingham, AL
- NPI 1962893347
Affinity Hospice Holdings, LLC, Affinity Hospice Intermediate Holdings LLC, Affinity Hospice Ultimate Holdings LLC, Dragonfly Finance Holdco LLC, Fosh Holdings LLC, Franklin Park Co-Investment Fund V LP, LLR Equity Partners International VI LP, LLR
-
dba Affinity Hospice
- Community Based Hospice Care Agency
- Claxton, GA
- NPI 1548501000
Affinity Hospice Holdings, LLC, Affinity Hospice Intermediate Holdings LLC, Affinity Hospice Ultimate Holdings LLC, Dragonfly Finance Holdco LLC, Fosh Holdings LLC, Franklin Park Co-Investment Fund V LP, Go IV Equalization (Eci) LP, LLR Equity Part
-
- Community Based Hospice Care Agency
- Valdosta, GA
- NPI 1972709160
Affinity Hospice Holdings, LLC, Affinity Hospice Intermediate Holdings LLC, Affinity Hospice Ultimate Holdings LLC, Dragonfly Finance Holdco LLC, Fosh Holdings LLC, Franklin Park Co-Investment Fund V LP, Go IV Equalization (Eci) LP, LLR Equity Part
-
- Community Based Hospice Care Agency
- Greenville, SC
- NPI 1700329455
Affinity Hospice Holdings, LLC, Affinity Hospice Intermediate Holdings LLC
-
dba Elite Hospice
- Community Based Hospice Care Agency
- Bristol, VA
- NPI 1922571561
Affinity Hospice Holdings, LLC, Affinity Hospice Intermediate Holdings LLC, Affinity Hospice Ultimate Holdings LLC, Dragonfly Finance Holdco LLC, Fosh Holdings LLC, Franklin Park Co-Investment Fund V LP, Go IV Equalization (Eci) LP, LLR Equity Part
-
- Community Based Hospice Care Agency
- Greenville, SC
- NPI 1649521048
Affinity Hospice Holdings, LLC, Affinity Hospice Intermediate Holdings LLC, Affinity Hospice Ultimate Holdings LLC, Dragonfly Finance Holdco LLC, Fosh Holdings LLC, Franklin Park Co-Investment Fund V LP, LLR Equity Partners International VI LP, LLR
-
dba Affinity Hospice
- Community Based Hospice Care Agency
- Canton, GA
- NPI 1497061709
Affinity Hospice Holdings, LLC, Affinity Hospice Intermediate Holdings LLC, Affinity Hospice Ultimate Holdings LLC, Dragonfly Finance Holdco LLC, Fosh Holdings LLC, Franklin Park Co-Investment Fund V LP, Go IV Equalization (Eci) LP, LLR Equity Part
-
- Community Based Hospice Care Agency
- Stockbridge, GA
- NPI 1043632334
Affinity Hospice Holdings, LLC, Affinity Hospice Intermediate Holdings LLC, Affinity Hospice Ultimate Holdings LLC, Dragonfly Finance Holdco LLC, Fosh Holdings LLC, Franklin Park Co-Investment Fund V LP, Go IV Equalization (Eci) LP, LLR Equity Part
-
dba BridgeWay Hospice
- Community Based Hospice Care Agency
- Lawrenceville, GA
- NPI 1003273095
Affinity Hospice Holdings, LLC, Affinity Hospice Intermediate Holdings LLC, Affinity Hospice Ultimate Holdings LLC, Dragonfly Finance Holdco LLC, Fosh Holdings LLC, Franklin Park Co-Investment Fund V LP, Go IV Equalization (Eci) LP, LLR Equity Part
-
- Community Based Hospice Care Agency
- Athens, GA
- NPI 1396948790
Affinity Hospice Holdings, LLC, Affinity Hospice Intermediate Holdings LLC, Affinity Hospice Ultimate Holdings LLC, Dragonfly Finance Holdco LLC, Fosh Holdings LLC, Franklin Park Co-Investment Fund V LP, Go IV Equalization (Eci) LP, LLR Equity Part
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Aug 14, 2021 | Change of Ownership | Hospice Angels |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
- Community Based Hospice Care Agency
- Pine Bluff, AR
- NPI 1851379507
Acquired from, 2021-08-14
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.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- White Hall, AR
- NPI 1740905553
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.
-
- Family Nurse Practitioner
- Pine Bluff, AR
- NPI 1033405600
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; 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.