Active NPI
Community Caregivers LLC
- In Home Supportive Care Agency
- Conway, AR
National Provider Identifier
1033789482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erika Black, RN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | support@communitycaregiversar.net |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- North Little Rock, AR
- NPI 1073292587
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.