Organization Active NPI

Black River Area Development Corp. Senior Citizens Program

  • Non-emergency Medical Transport (VAN)
  • Pocahontas, AR
National Provider Identifier
1194657692
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
BLACK RIVER AREA DEVELOPMENT CORP. SENIOR CITIZENS PROGRAM
Practice address
1403 Hospital Dr
Pocahontas, AR 72455-3847
Phone
(870) 892-4547
Fax
(870) 892-0707
NPI assigned
Jun 1, 2026
Organization subpart
Yes
Parent organization
BLACK RIVER AREA DEVELOPMENT CORP. SENIOR CITIZENS PROGRAMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Authorized official

Name
Amy ThomasNPI 1770624132
Title
Executive Director
Phone
(870) 892-4547

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

1403 Hospital Dr
Pocahontas, AR 72455-3847

Mailing address

1403 Hospital Dr
Pocahontas, AR 72455-3847
Phone (870) 892-4547

Other names 1

  • Black River Area Development Corporation Other name

National Provider Directory

National Provider Directory
Tax ID family
Black River Area Development Corp Senior Citizens Program2 organizations share this tax ID, including this one
Part of
Black River Area Development Corp Senior Citizens Program

Other organizations with this tax ID 1

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

Locations

1403 Hospital Dr
Pocahontas, AR 72455
Phone (870) 892-4547

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1780272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1194657692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 HOSPITAL DR",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724553847",
            "telephone_number": "870-892-4547",
            "fax_number": "870-892-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 HOSPITAL DR",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724553847",
            "telephone_number": "870-892-4547",
            "fax_number": "870-892-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK RIVER AREA DEVELOPMENT CORP. SENIOR CITIZENS PROGRAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLACK RIVER AREA DEVELOPMENT CORP. SENIOR CITIZENS PROGRAM",
        "enumeration_date": "2026-06-01",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "870-892-4547"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Black River Area Development Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pocahontas, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.