Active NPI
Heritage Home Health, LLC
- Home Health Agency
- Texarkana, AR
National Provider Identifier
1003801010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- AR4167
- Legal business name
- HERITAGE HOME HEALTH, LLC
- Practice address
- 3809 E 9TH St
Suite 12
Texarkana, AR 71854-5818 - Phone
- (870) 773-4900
- Fax
- (870) 772-9270
- NPI assigned
- Sep 15, 2005
- 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
- Mrs. Dona Denise Jackson, RN
- Title
- Administrator
- Phone
- (870) 773-4900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | AR4167 | AR | Primary |
Addresses
Primary practice location
3809 E 9TH St
Suite 12
Texarkana, AR 71854-5818
Mailing address
3809 E 9TH St
Suite 12
Texarkana, AR 71854-5818
Phone (870) 773-4900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149721514 | Medicaid | AR |
Other names 1
- Integrity Home Health
National Provider Directory
National Provider DirectoryLocations
3809 E 9th St
Ste 12
Texarkana, AR 71854
Phone (870) 773-4900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126742400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1349395200000",
"number": "1003801010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3809 E 9TH ST",
"address_2": "SUITE 12",
"city": "TEXARKANA",
"state": "AR",
"postal_code": "718545818",
"telephone_number": "870-773-4900",
"fax_number": "870-772-9270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3809 E 9TH ST",
"address_2": "SUITE 12",
"city": "TEXARKANA",
"state": "AR",
"postal_code": "718545818",
"telephone_number": "870-773-4900",
"fax_number": "870-772-9270"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERITAGE HOME HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-15",
"last_updated": "2012-10-05",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "DONA",
"authorized_official_middle_name": "DENISE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "870-773-4900",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "AR",
"license": "AR4167",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149721514",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Integrity Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Texarkana, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.