Allegiance Hospital of North Little Rock, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

AR4305 Issued in AR

Legal business name

ALLEGIANCE HOSPITAL OF NORTH LITTLE ROCK, LLC

Practice address

1400 Braden St.
Jacksonville, AR 72076

Phone

(501) 985-7000

Fax

(501) 985-7247

NPI assigned

Jul 17, 2006

Organization subpart

No

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

Authorized official

Name

Cindy Stafford

Title

Ceo

Phone

(501) 985-7000

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• North Metro Medical Center Home Health Agency Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Change-of-ownership history 1

Change of ownership 1

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

• Stat Home Health - Cenark LLC

  • Home Health Agency
  • Little Rock, AR
  • NPI 1912464009

  Sold to, 2019-03-01

  CMS change of ownership

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427241600000",
    "number": "1013935121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720780159",
            "telephone_number": "501-985-7000",
            "fax_number": "501-985-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BRADEN ST.",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "72076",
            "telephone_number": "501-985-7000",
            "fax_number": "501-985-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGIANCE HOSPITAL OF NORTH LITTLE ROCK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2015-03-25",
        "status": "A",
        "authorized_official_last_name": "STAFFORD",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "501-985-7000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AR",
            "license": "AR3301",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AR",
            "license": "AR4305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129068514",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER",
            "identifier": "129068514",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Metro Medical Center Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Coleman Alexander
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• Lauren Katherine Allbritton, RDN
• Allegiance Hospital of North Little Rock, LLC
• Allegiance Hospital of North Little Rock, LLC
• Allegiance Hospital of North Little Rock, LLC
• Alpha Led Living Services Inc
• Angela Gray Family Dentistry Inc.

• All providers in Jacksonville, AR
• Home Health Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.