Active NPI
East Arkansas Area Agency on Aging, Inc.
- Home Health Agency
- Jonesboro, AR
National Provider Identifier
1245300417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- EAST ARKANSAS AREA AGENCY ON AGING, INC.
- Practice address
- 2005 E Highland Dr
Jonesboro, AR 72401-6123 - Phone
- (870) 930-2212
- Fax
- (870) 930-2230
- NPI assigned
- Nov 8, 2006
- 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
- Tammy Darr
- Title
- Assistant Director of Finance
- Phone
- (870) 930-2212
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
2005 E Highland Dr
Jonesboro, AR 72401-6123
Mailing address
PO Box 5035
Jonesboro, AR 72403-5035
Phone (870) 930-2212
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101758732 | Medicaid | AR | |
| 120655757 | Medicaid | AR | |
| 164322796 | Medicaid | AR | |
| 120654752 | Medicaid | AR | |
| 164270797 | Medicaid | AR | |
| 132126754 | Medicaid | AR |
National Provider Directory
National Provider Directory- Tax ID family
- East Arkansas Area Agency on Aging Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Jonesboro, AR
- NPI 1801973904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216684800000",
"number": "1245300417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5035",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724035035",
"telephone_number": "870-930-2212",
"fax_number": "870-930-2230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 E HIGHLAND DR",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724016123",
"telephone_number": "870-930-2212",
"fax_number": "870-930-2230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST ARKANSAS AREA AGENCY ON AGING, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-08",
"last_updated": "2008-07-22",
"status": "A",
"authorized_official_last_name": "DARR",
"authorized_official_first_name": "TAMMY",
"authorized_official_title_or_position": "ASSISTANT DIRECTOR OF FINANCE",
"authorized_official_telephone_number": "870-930-2212"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101758732",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120655757",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "164322796",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120654752",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "164270797",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "132126754",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.