Paul & Ashley Fry, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PAUL & ASHLEY FRY, LLC

Doing business as

Home Instead #601

Practice address

7 Beaverfork Rd
Conway, AR 72032-9517

Phone

(501) 764-1814

Fax

(501) 764-1913

NPI assigned

Nov 15, 2018

Organization subpart

No

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

Authorized official

Name

Paul Fry, RN

Title

Owner

Phone

(501) 764-1814

Specialties & licenses 3

Addresses

Other identifiers 4

Other names 1

• Home Instead #601 Doing business as

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1154890598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BEAVERFORK RD",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720329517",
            "telephone_number": "501-764-1814",
            "fax_number": "501-764-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 BEAVERFORK RD",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720329517",
            "telephone_number": "501-764-1814",
            "fax_number": "501-764-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL & ASHLEY FRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-15",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "FRY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-764-1814",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "231830732",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "233602757",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "233605765",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "233258797",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead #601",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia a. Knott, MD, PA
• Kendall Lee Patrick Henson, RBT
• McKensy T Patrick, RBT
• Renee Antheia Patrick
• William Ray Patterson, OD
• Ashlie Ellen Paul
• Kelsey Payne
• Lakyn Michelle Payne, PA
• Gustavo Paz Duarte
• PCMC-Conway PA

• In Home Supportive Care Agency in Conway, AR
• Providers in Conway, 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 26, 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.