Organization Active NPI

Arkansas Home Health Providers-IV, LLC

  • Home Health Agency
  • Marked Tree, AR
National Provider Identifier
1174925945
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ARKANSAS HOME HEALTH PROVIDERS-IV, LLC
Practice address
107 Nathan St
Marked Tree, AR 72365-1447
Phone
(870) 358-4018
NPI assigned
Sep 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Authorized official

Name
Richard A Williams
Title
Manager
Phone
(501) 455-0010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

107 Nathan St
Marked Tree, AR 72365-1447

Mailing address

10710 Otter Creek East Blvd
Suite 400
Mabelvale, AR 72103-5808
Phone (501) 455-0010

National Provider Directory

National Provider Directory
Tax ID family
Arkansas Home Health Providers-IV2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1174925945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10710 OTTER CREEK EAST BLVD",
            "address_2": "SUITE 400",
            "city": "MABELVALE",
            "state": "AR",
            "postal_code": "721035808",
            "telephone_number": "501-455-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 NATHAN ST",
            "city": "MARKED TREE",
            "state": "AR",
            "postal_code": "723651447",
            "telephone_number": "870-358-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS HOME HEALTH PROVIDERS-IV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "501-455-0010"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marked Tree, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.