Robert Leroy Johnson
Individual provider Active NPI Attendant Care Provider · Hardy, AR
NPI 1053945352 · NPPES record last updated Jun 10, 2020
Key facts
- NPI
- 1053945352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Attendant Care Provider 3747A0650X
- Practice address
- 29 Tucker Rd
Hardy, AR 72542-9115 - Phone
- (870) 955-0972
- NPI assigned
- Feb 25, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | Yes |
Addresses
Primary practice location
29 Tucker Rd
Hardy, AR 72542-9115
Mailing address
29 Tucker Rd.
Hardy, AR 72542
Phone (870) 955-0972
Other providers in Hardy, AR
- Hardin Therapy Services
- Matthew Hardin
- Jennifer Lynn Hillis
- Christian Dawn Huffmaster
- Chasity Johnson
- Karen Ann Schadler
- Mishann Luedders-East
- James Young Massey
- Tia K. Morris
- Bryan Scott Pollock
All providers in Hardy, AR · Attendant Care Provider in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.