Organization Active NPI

Ozarks Regions Health Systems

  • Home Health Agency
  • Berryville, AR
National Provider Identifier
1003985607
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
AR4160 Issued in AR
Legal business name
OZARKS REGIONS HEALTH SYSTEMS
Practice address
214 Carter St
Berryville, AR 72616-4303
Phone
(870) 423-5257
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2009

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

Authorized official

Name
Kristy Noble
Title
President
Phone
(870) 423-5257

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X AR4160 AR Primary

Addresses

Primary practice location

214 Carter St
Berryville, AR 72616-4303

Mailing address

214 Carter St
Berryville, AR 72616-4303
Phone (870) 423-5257

Other identifiers 1

IdentifierTypeStateIssuer
126435747MedicaidAR

Other names 1

  • St. John's Home Health Berryville Doing business as

National Provider Directory

National Provider Directory

Locations

214 Carter St
Berryville, AR 72616
Phone (870) 423-3355

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256515200000",
    "number": "1003985607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 CARTER ST",
            "city": "BERRYVILLE",
            "state": "AR",
            "postal_code": "726164303",
            "telephone_number": "870-423-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 CARTER ST",
            "city": "BERRYVILLE",
            "state": "AR",
            "postal_code": "726164303",
            "telephone_number": "870-423-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARKS REGIONS HEALTH SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2009-10-26",
        "status": "A",
        "authorized_official_last_name": "NOBLE",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-423-5257"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AR",
            "license": "AR4160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126435747",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. John's Home Health Berryville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berryville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.