NPIMap

Organization Active NPI

Hospice of Southern Arkansas

  • Community Based Hospice Care Agency
  • Helena, AR
National Provider Identifier
1245688050
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
AR5167 Issued in AR
Legal business name
HOSPICE OF SOUTHERN ARKANSAS
Practice address
640 Oakland Avenue
Helena, AR 72342-1504
Phone
(870) 753-4200
Fax
(870) 292-3511
NPI assigned
Jun 2, 2016
Last updated
Jun 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Authorized official

Name
Chris Lackner
Title
Delegated Official
Phone
(405) 412-4909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X AR5167 AR Primary

Addresses

Primary practice location

640 Oakland Avenue
Helena, AR 72342-1504

Mailing address

5314 S Yale Ave
Ste 420
Tulsa, OK 74135-6256
Phone (405) 412-4909

National Provider Directory

National Provider Directory
Tax ID family
Hospice of Southern Arkansas2 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": "1464825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1245688050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5314 S YALE AVE",
            "address_2": "STE 420",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741356256",
            "telephone_number": "405-412-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 OAKLAND AVENUE",
            "city": "HELENA",
            "state": "AR",
            "postal_code": "723421504",
            "telephone_number": "870-753-4200",
            "fax_number": "870-292-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF SOUTHERN ARKANSAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "LACKNER",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "405-412-4909"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AR",
            "license": "AR5167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.