Organization Active NPI

Home to Community Living, Inc

  • Physical Therapist
  • Little Rock, AR
National Provider Identifier
1295391688
Registry record updated May 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HOME TO COMMUNITY LIVING, INC
Practice address
10201 W Markham Street Pulaski
Little Rock, AR 72205
Phone
(501) 960-0067
Fax
(501) 222-1419
NPI assigned
May 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2019

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

Authorized official

Name
Reeshema BrittNPI 1548512718
Title
Director
Phone
(501) 960-0067

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

10201 W Markham Street Pulaski
Little Rock, AR 72205

Mailing address

1 Dover Dr
Little Rock, AR 72204
Phone (501) 960-0067

Other identifiers 1

IdentifierTypeStateIssuer
15075MedicaidAR

National Provider Directory

National Provider Directory

Locations

10201 W Markham St
Little Rock, AR 72205
Phone (501) 960-0067

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557619200000",
    "number": "1295391688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DOVER DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72204",
            "telephone_number": "501-960-0067",
            "fax_number": "501-222-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 W MARKHAM STREET PULASKI",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72205",
            "telephone_number": "501-960-0067",
            "fax_number": "501-222-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME TO COMMUNITY LIVING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-12",
        "last_updated": "2019-05-12",
        "status": "A",
        "authorized_official_last_name": "BRITT",
        "authorized_official_first_name": "REESHEMA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "501-960-0067"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15075",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.