Active NPI
Vanessa Bato Laranjo, C.E.O
- Home Health Aide
- Fort Smith, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- AR5361
- Practice address
- 2120 S Waldron Rd Ste 3B
Fort Smith, AR 72903-3655 - Phone
- (479) 242-5883
- Fax
- (479) 242-1925
- NPI assigned
- Apr 23, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | AR5361 | AR | Primary |
Addresses
Primary practice location
2120 S Waldron Rd Ste 3B
Fort Smith, AR 72903-3655
Mailing address
7029 Uniontown Hwy
Van Buren, AR 72956-8214
Phone (479) 242-5883
Other practice location 1
111 E Gaines St
Monticello, AR 71655-4901
Phone (479) 242-5883 ext. 101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AR5361 | AR | MD | Home Health Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olivia's Senior Home Care LLC | Current | Accepting new patients |
Locations
2120 S Waldron Rd
Ste 3B
Fort Smith, AR 72903
Phone (479) 242-5883
5400 Free Ferry Rd
Ste 104
Fort Smith, AR 72903
111 E Gaines St
Monticello, AR 71655
Phone (479) 285-5241
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- In Home Supportive Care Agency
- Fort Smith, AR
- NPI 1871009142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576800000000",
"number": "1295223592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7029 UNIONTOWN HWY",
"city": "VAN BUREN",
"state": "AR",
"postal_code": "729568214",
"telephone_number": "479-242-5883",
"fax_number": "479-242-1925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 S WALDRON RD STE 3B",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729033655",
"telephone_number": "479-242-5883",
"fax_number": "479-242-1925"
}
],
"practiceLocations": [
{
"address_1": "111 E Gaines St",
"address_purpose": "LOCATION",
"city": "Monticello",
"state": "AR",
"postal_code": "716554901",
"country_code": "US",
"telephone_number": "479-242-5883 x101",
"fax_number": "479-242-1925",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LARANJO",
"first_name": "VANESSA",
"middle_name": "BATO",
"credential": "C.E.O",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-23",
"last_updated": "2019-12-20",
"certification_date": "2019-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "AR",
"license": "AR5361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.