Elite Senior Care-North Arkansas LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

215139765 Issued in AR

Legal business name

ELITE SENIOR CARE-NORTH ARKANSAS LLC

Doing business as

Allheart Senior Care-North Arkansas

Practice address

6289 Highway 62 W
Gassville, AR 72635-8207

Phone

(870) 435-2123

NPI assigned

Feb 2, 2017

Last updated

Nov 24, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Justin Hagood

Title

Owner

Phone

(870) 435-2123

Specialties & licenses 1

Addresses

Other names 1

• Allheart Senior Care-North Arkansas Doing business as

Tax ID family

Allheart Senior Care-North Arkansas2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Elite Senior Care-North Arkansas LLC

  dba Allheart Senior Care-North Arkansas

  • In Home Supportive Care Agency
  • Gassville, AR
  • NPI 1285183087
  NPD tax ID

Locations

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1083152797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 218",
            "city": "GASSVILLE",
            "state": "AR",
            "postal_code": "726350218",
            "telephone_number": "870-435-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6289 HIGHWAY 62 W",
            "city": "GASSVILLE",
            "state": "AR",
            "postal_code": "726358207",
            "telephone_number": "870-435-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SENIOR CARE-NORTH ARKANSAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-02",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "HAGOOD",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-435-2123"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AR",
            "license": "215139765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allheart Senior Care-North Arkansas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber Grace Christian
• Charles G Crosslin, O.D.
• Micaela A Cully
• Christine Dale, APRN
• Judy Dunn, L.P.C.
• Elite Senior Care-North Arkansas LLC (Allheart Senior Care-North Arkansas)
• Gassville Care Center Inc (Gassville Nursing And Rehabilitation Center)
• Kathy Jo Gay, LPTA
• Genuine Care Pharmacy Inc (Genuine Care Pharmacy)
• Christy Ann Gross

• Home Health Agency in Gassville, AR
• Providers in Gassville, 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 Nov 24, 2020; 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.