The Ray Dae

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

THE RAY DAE

Practice address

701 Madison Dr
Prairie Grove, AR 72753-2871

Phone

(479) 715-3875

NPI assigned

Apr 16, 2024

Organization subpart

No

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

Authorized official

Name

Jennifer Jane Cook, MS, SDP, CHCNPI 1356811046

Title

Owner

Phone

(479) 715-3875

Specialties & licenses 2

Addresses

Practitioners 1

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

• Jennifer Jane Cook

  • Mental Health Counselor
  • Fayetteville, AR
  • NPI 1356811046
  NPD Authorized official

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1114771920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 MADISON DR",
            "city": "PRAIRIE GROVE",
            "state": "AR",
            "postal_code": "727532871",
            "telephone_number": "479-715-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 MADISON DR",
            "city": "PRAIRIE GROVE",
            "state": "AR",
            "postal_code": "727532871",
            "telephone_number": "479-715-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RAY DAE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-715-3875",
        "authorized_official_credential": "MS, SDP, CHC"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaynee Gail Sizemore, APRN
• Melinda Southerly, BSN, RN
• Amber Squire, RN, BSN
• St. Francis House Nwa, Inc.
• Sterling Drug Company
• Wal-Mart Stores Inc
• Amanda Walls, PHD, NTP
• Blaine Yarbrough, CCC-SLP
• Lesli A Zorn, CERTIFIED BIRTH DOUL

• In Home Supportive Care Agency in Prairie Grove, AR
• Providers in Prairie Grove, AR by specialty
• In Home Supportive Care Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.