Organization
EUREKA SPRINGS HOSPITAL HOMECARE, LLC
Active
Other names
Elite Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA L PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
146 PASSION PLAY RD, SUITE B, EUREKA SPRINGS, AR 72632-9495
(479) 253-5554
(479) 253-7708
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
AR4471
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167372514
—
AR
01
—
17134
ARKANSAS BLUE CROSS BLUE
AR
Enumeration date
02/28/2007
Last updated
12/27/2023
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