Organization Active NPI

Crittenden Cares, Inc

  • Home Health Agency
  • West Memphis, AR
National Provider Identifier
1164436317
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
AR4269 Issued in AR
Legal business name
CRITTENDEN CARES, INC
Doing business as
Procare
Practice address
308 S Rhodes St
West Memphis, AR 72301-4215
Phone
(870) 732-3353
Fax
(870) 732-2662
NPI assigned
Jul 27, 2006
Organization subpart
Yes
Parent organization
CRITTENDEN CARES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Authorized official

Name
Mr. Eugene K Cashman III
Title
Ceo
Phone
(870) 735-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X AR4269 AR Primary

Addresses

Primary practice location

308 S Rhodes St
West Memphis, AR 72301-4215

Mailing address

PO Box 3026
West Memphis, AR 72303-3026
Phone (870) 732-3353

Other identifiers 1

IdentifierTypeStateIssuer
10530OtherARBLUE CROSS BLUE SHIELD

Other names 1

  • Procare Doing business as

National Provider Directory

National Provider Directory
Part of
Crittenden Cares Inc

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1164436317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3026",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723033026",
            "telephone_number": "870-732-3353",
            "fax_number": "870-732-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 S RHODES ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723014215",
            "telephone_number": "870-732-3353",
            "fax_number": "870-732-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRITTENDEN CARES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CRITTENDEN CARES, INC",
        "enumeration_date": "2006-07-27",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "CASHMAN",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-735-1500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AR",
            "license": "AR4269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "10530",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Procare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Memphis, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.