Active NPI
Arkansas Home Health Providers-IV, LLC
- Home Health Agency
- Marked Tree, AR
National Provider Identifier
1174925945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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-IV
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Jonesboro, AR
- NPI 1265833636
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.