Active NPI
Area Agency on Aging of Northwest Arkansas
- Home Health Aide
- Harrison, AR
National Provider Identifier
1114980109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Legal business name
- AREA AGENCY ON AGING OF NORTHWEST ARKANSAS
- Practice address
- 1510 Rock Springs Rd
Harrison, AR 72601-8804 - Phone
- (870) 741-1144
- Fax
- (870) 741-1153
- NPI assigned
- Apr 10, 2006
- 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
- Mr. Richard B Bailey
- Title
- Executive Director
- Phone
- (870) 741-1144
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | |||
| Adult Day Care Clinic/Center | 261QA0600X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | MG00523 | AR | |
| Home Delivered Meals | 332U00000X | |||
| Emergency Response System Companies | 333300000X | |||
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
1510 Rock Springs Rd
Harrison, AR 72601-8804
Mailing address
PO Box 1795
Harrison, AR 72602-1795
Phone (870) 741-1144
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120518757 | Medicaid | AR | |
| 130240754 | Medicaid | AR | |
| 120610765 | Medicaid | AR | |
| 201547755 | Medicaid | AR | |
| 101297732 | Medicaid | AR | |
| 164273797 | Medicaid | AR | |
| 201546753 | Medicaid | AR |
National Provider Directory
National Provider DirectoryLocations
1510 Rock Springs Rd
Harrison, AR 72601
Phone (870) 446-2757
1516 Rock Springs Rd
Ste A
Harrison, AR 72601
Phone (870) 741-1505
1508 Rock Springs Rd
Ofc
Harrison, AR 72601
Phone (870) 743-1623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737590400000",
"number": "1114980109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1795",
"city": "HARRISON",
"state": "AR",
"postal_code": "726021795",
"telephone_number": "870-741-1144",
"fax_number": "870-741-1153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 ROCK SPRINGS RD",
"city": "HARRISON",
"state": "AR",
"postal_code": "726018804",
"telephone_number": "870-741-1144",
"fax_number": "870-741-1153"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AREA AGENCY ON AGING OF NORTHWEST ARKANSAS",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-10",
"last_updated": "2025-01-23",
"certification_date": "2025-01-23",
"status": "A",
"authorized_official_last_name": "BAILEY",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "870-741-1144",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "AR",
"license": "MG00523",
"primary": false
},
{
"code": "332U00000X",
"taxonomy_group": "",
"desc": "Home Delivered Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "333300000X",
"taxonomy_group": "",
"desc": "Emergency Response System Companies",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120518757",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130240754",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120610765",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201547755",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101297732",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "164273797",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201546753",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrison, AR
- Kris D Anderson, MSW, LCSW
- Katherine Grace Angel, PHARM.D, RPH
- Apple Ridge Health and Rehabilitation, LLC
- Ar Periodontal & Implant Assoc
- Joseph S Archibong, LAC
- Arkansas Orthopedic and Spine Care LLC
- Arkansas Orthopedics & Sports Medicine, P.a.
- Arkansas Speech Pathology Services, Inc.
- Michael Armer, MHPP
- Stacy L Armstrong, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.