Individual provider Active NPI

Angie Clairvil Sene

  • Home Health Aide
  • Little Rock, AR
National Provider Identifier
1124729454
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
1805 Reservoir Rd Apt 26
Little Rock, AR 72227-6603
Phone
(516) 343-4734
Fax
(516) 343-4734
NPI assigned
Mar 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X AR Primary

Addresses

Primary practice location

1805 Reservoir Rd Apt 26
Little Rock, AR 72227-6603

Mailing address

1805 Reservoir Rd Apt 26
Little Rock, AR 72227-6603
Phone (516) 343-4734

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1124729454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 RESERVOIR RD APT 26",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722276603",
            "telephone_number": "516-343-4734",
            "fax_number": "516-343-4734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 RESERVOIR RD APT 26",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722276603",
            "telephone_number": "516-343-4734",
            "fax_number": "516-343-4734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAIRVIL SENE",
        "first_name": "ANGIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.