Individual provider Active NPI

Vanessa Bato Laranjo, C.E.O

  • Home Health Aide
  • Fort Smith, AR
National Provider Identifier
1295223592
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
AR5361 Issued in AR
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

Updated by the provider on Dec 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
AR5361ARMDHome Health Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Olivia's Senior Home Care LLC CurrentSince Nov 1, 2019 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.

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.

Verify at the official NPI Registry.