State of Arkansas

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

AR4010 Issued in AR

Legal business name

STATE OF ARKANSAS

Practice address

740 California Ave SW
Ouachita County Health Unit
Camden, AR 71701-4606

Phone

(870) 836-5033

Fax

(870) 837-1488

NPI assigned

Aug 9, 2006

Organization subpart

Yes

Parent organization

STATE OF ARKANSASAs reported in NPPES

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

Authorized official

Name

Marilyn Evans, RN

Title

Home Health Administrator

Phone

(501) 661-2540

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ouachita County Health Unit Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Part of

State of Arkansas

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• State of Arkansas

  • Skilled Nursing Facility
  • North Little Rock, AR
  • NPI 1689117756

  Member Of

  NPD member

Change-of-ownership history 1

Change of ownership 1

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

• Kah Development 4, LLC

  • Home Health Agency
  • Camden, AR
  • NPI 1710337738

  Sold to, 2016-08-01

  CMS change of ownership

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1023028164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 WEST 10TH STREET",
            "address_2": "SUITE 300",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722041764",
            "telephone_number": "501-661-2614",
            "fax_number": "501-661-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 CALIFORNIA AVE SW",
            "address_2": "OUACHITA COUNTY HEALTH UNIT",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717014606",
            "telephone_number": "870-836-5033",
            "fax_number": "870-837-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF ARKANSAS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF ARKANSAS",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "HOME HEALTH ADMINISTRATOR",
        "authorized_official_telephone_number": "501-661-2540",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AR",
            "license": "AR4010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104312514",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ouachita County Health Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• South Arkansas Youth Services, Inc.
• South Central Foot Care, PLLC
• South Central Service Cooperative
• Speech Pathology Assocaites, Inc
• Sravanthi Kiran Joginipelli Health Care ,LLC
• Steven J Keller, D.C, P.a.
• Keke Stewart
• Gerald Stinnett, COTA
• Neatrice Strickland
• Melissa Sumner

• Home Health Agency in Camden, AR
• Providers in Camden, AR by specialty
• Home Health Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.