Arkansas 1St Class Consumer Directed Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ARKANSAS 1ST CLASS CONSUMER DIRECTED SERVICES LLC

Practice address

825 E Main St Ste I
Blytheville, AR 72315-2599

Phone

(573) 391-0570

NPI assigned

Oct 15, 2020

Last updated

Oct 15, 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

Tiffany Rochell EdmondsonNPI 1962009894

Title

Ceo/Owner

Phone

(573) 391-0570

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tiffany Rochell Edmondson

  • In Home Supportive Care Agency
  • Blytheville, AR
  • NPI 1962009894
  NPD Authorized official

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602720000000",
    "number": "1134727613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 E MAIN ST STE I",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723152599",
            "telephone_number": "573-391-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 E MAIN ST STE I",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723152599",
            "telephone_number": "573-391-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS 1ST CLASS CONSUMER DIRECTED SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "EDMONDSON",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "ROCHELL",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "573-391-0570"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA",
            "identifier": "000000000",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000000",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tiffanyjackson1520@yahoo.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "825 E Main St Ste I",
            "city": "Blytheville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "723152599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Eunice Anderson Connell, O.D., M.S., B.S.
• Chiquita La'Tarsha Anderson, AAS
• Christina Anderson
• Valencia Marie Andrews-Pirtle, MD
• Anes W. Abraham M.D. P.a. (Pediatric and Teen Medical Center)
• Arkansas Em-I Byrne Medical Services PA
• Benjamin Asafo-Boakye, MD
• Ascent Acquisitions Corp-PSC (Pediatric Specialty Care)
• Connie Kay Ash, APRN
• Chimere A Ashley Hammett, M.D.

• In Home Supportive Care Agency in Blytheville, AR
• Providers in Blytheville, 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 Oct 15, 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.