Ozark Adult Personal Care LLC
Organization Active NPI In Home Supportive Care Agency · Melbourne, AR
NPI 1265780944 · NPPES record last updated Sep 23, 2019
Key facts
- NPI
- 1265780944
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Legal business name
- OZARK ADULT PERSONAL CARE LLC
- Practice address
- 1234 E Main St
Melbourne, AR 72556-9316 - Phone
- (870) 368-4419
- Fax
- (870) 368-4094
- NPI assigned
- Aug 28, 2012
- Organization subpart
- No
Authorized official
- Name
- Jill Wiles
- Title
- Owner
- Phone
- (870) 368-4419
National Provider Directory
Locations
1234 E Main St
Melbourne, AR 72556
Phone (870) 368-4419
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
1234 E Main St
Melbourne, AR 72556-9316
Mailing address
PO Box 906
Melbourne, AR 72556-0906
Phone (870) 368-4419
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190746757 | Medicaid | AR | |
| 193026732 | Medicaid | AR | |
| 192867796 | Medicaid | AR | |
| 190744752 | Medicaid | AR | |
| 192868797 | Medicaid | AR |
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All providers in Melbourne, AR · In Home Supportive Care Agency in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.