NPIMap

Organization Active NPI

Human Development and Research Services

  • Substance Abuse Rehabilitation Facility
  • Pine Bluff, AR
National Provider Identifier
1205273000
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
324500000X Issued in AR
Legal business name
HUMAN DEVELOPMENT AND RESEARCH SERVICES
Practice address
6841 W 13TH Ave
Pine Bluff, AR 71602-8680
Phone
(870) 879-1051
Fax
(870) 879-0118
NPI assigned
Jun 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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

Authorized official

Name
Mr. Joe Nathan Hall, CCS, LADAC, ACADCNPI 1871928697
Title
Executive Director
Phone
(870) 879-1051

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
Substance Abuse Rehabilitation Facility 324500000X 324500000X AR Primary

Addresses

Primary practice location

6841 W 13TH Ave
Pine Bluff, AR 71602-8680

Mailing address

PO Box 8225
Pine Bluff, AR 71611-8225
Phone (870) 535-3535

National Provider Directory

National Provider Directory

Locations

6841 W 13th Ave
Pine Bluff, AR 71602
Phone (870) 879-1051

Practitioners & affiliated clinicians

Practitioners 5

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": "1370217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1205273000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8225",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716118225",
            "telephone_number": "870-535-3535",
            "fax_number": "870-535-9541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6841 W 13TH AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716028680",
            "telephone_number": "870-879-1051",
            "fax_number": "870-879-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMAN DEVELOPMENT AND RESEARCH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "NATHAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "870-879-1051",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CCS, LADAC, ACADC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "AR",
            "license": "324500000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.