Elite Senior Care-North Arkansas LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ELITE SENIOR CARE-NORTH ARKANSAS LLC

Doing business as

Allheart Senior Care-North Arkansas

Practice address

6289 Hwy 62W
Gassville, AR 72635

Phone

(870) 435-2123

NPI assigned

Sep 22, 2016

Last updated

Jun 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Justin Hagood

Title

Owner

Phone

(870) 435-2123

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Allheart Senior Care-North Arkansas Doing business as

Tax ID family

Allheart Senior Care-North 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.

• Elite Senior Care-North Arkansas LLC

  dba Allheart Senior Care-North Arkansas

  • Home Health Agency
  • Gassville, AR
  • NPI 1083152797
  NPD tax ID

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1285183087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P. O. BOX 218",
            "address_2": "6289 HWY 62 WEST /",
            "city": "GASSVILLE",
            "state": "AR",
            "postal_code": "72635",
            "telephone_number": "870-435-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6289 HWY 62W",
            "city": "GASSVILLE",
            "state": "AR",
            "postal_code": "72635",
            "telephone_number": "870-435-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SENIOR CARE-NORTH ARKANSAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-22",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "HAGOOD",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-435-2123"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AR",
            "license": "215139765",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205557757",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207843797",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206177732",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "215139765",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allheart Senior Care-North Arkansas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles G Crosslin, O.D.
• Micaela A Cully
• Christine Dale, APRN
• Judy Dunn, L.P.C.
• Elite Senior Care-North Arkansas LLC (Allheart Senior Care-North Arkansas)
• Gassville Care Center Inc (Gassville Nursing And Rehabilitation Center)
• Kathy Jo Gay, LPTA
• Genuine Care Pharmacy Inc (Genuine Care Pharmacy)
• Christy Ann Gross
• GVNC, Inc. (Gassville Therapy and Living)

• In Home Supportive Care Agency in Gassville, AR
• Providers in Gassville, AR by specialty
• In Home Supportive Care Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.