Crossett Health Foundation

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

AR4428 Issued in AR

Legal business name

CROSSETT HEALTH FOUNDATION

Doing business as

Acmc Family Home Health

Practice address

211 Pine St
Crossett, AR 71635

Phone

(870) 364-5555

Fax

(870) 364-5577

NPI assigned

Jul 7, 2005

Organization subpart

Yes

Parent organization

ASHLEY COUNTY MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Tammy Leann Carter, RN

Title

Director

Phone

(870) 364-5555

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ACMC FAMILY HOME HEALTH Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/ashley-7fdfcfbf

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Arkansas Homecare of Forrest City, LLC

  dba ACMC Family Home Health

  • Home Health Agency
  • Crossett, AR
  • NPI 1821661299

  Sold to, 2021-08-01

  CMS change of ownership

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1255339990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716350400",
            "telephone_number": "870-364-5555",
            "fax_number": "870-364-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 PINE ST",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "71635",
            "telephone_number": "870-364-5555",
            "fax_number": "870-364-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSETT HEALTH FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASHLEY COUNTY MEDICAL CENTER",
        "enumeration_date": "2005-07-07",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "LEANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "870-364-5555",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AR",
            "license": "AR4428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116070514",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACMC FAMILY HOME HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Complete Integrated Healthcare LLC
• Continuum, LLC
• Ledelma Asariaz Cotoco, OTR
• Crossett Health Foundation (Ashley Family Clinic)
• Crossett Health Foundation (Ashley Health Services)
• Crossett Health Foundation (Ashley County Anesthesia)
• Crossett Health Foundation (Ashley Speciatly Clinics)
• Crossett Health Foundation (Ashley Health Services)
• Crossett Health Foundation (Family Clinic of Ashley County)
• Crossett Health Foundation (Ashley County Medical Center)

• Home Health Agency in Crossett, AR
• Providers in Crossett, AR by specialty
• Home Health Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.