Organization Active NPI

Community Caregivers LLC

  • In Home Supportive Care Agency
  • Conway, AR
National Provider Identifier
1033789482
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
COMMUNITY CAREGIVERS LLC
Practice address
915 Oak St Ste 1005
Conway, AR 72032-4371
Phone
(501) 932-1897
Fax
(501) 300-5871
NPI assigned
Jun 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Authorized official

Name
Erika Black, RNNPI 1073292587
Title
RN
Phone
(501) 428-6525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Respite Care 385H00000X

Addresses

Primary practice location

915 Oak St Ste 1005
Conway, AR 72032-4371

Mailing address

915 Oak St Ste 1005
Conway, AR 72032-4371
Phone (501) 932-1897

Other practice location 1

3115 Plateau Dr
Conway, AR 72032-9190
Phone (501) 428-6525

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address support@communitycaregiversar.net

National Provider Directory

National Provider Directory

Locations

915 Oak St
Ste 1003A
Conway, AR 72032

915 Oak St
Ste 1005
Conway, AR 72032
Phone (501) 932-1897

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1033789482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 OAK ST STE 1005",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720324371",
            "telephone_number": "501-932-1897",
            "fax_number": "501-300-5871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 OAK ST STE 1005",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720324371",
            "telephone_number": "501-932-1897",
            "fax_number": "501-300-5871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3115 Plateau Dr",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "AR",
            "postal_code": "720329190",
            "country_code": "US",
            "telephone_number": "501-428-6525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY CAREGIVERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "501-428-6525",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "support@communitycaregiversar.net",
            "affiliation": "N",
            "endpointDescription": "business email",
            "address_1": "915 Oak St Ste 1005",
            "city": "Conway",
            "state": "AR",
            "country_code": "US",
            "postal_code": "720324371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.