Active NPI
Little Rock Home Health Agency Inc
- Home Health Agency
- Little Rock, AR
National Provider Identifier
1295790103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- AR4090
- Legal business name
- LITTLE ROCK HOME HEALTH AGENCY INC
- Practice address
- 11524 N Rodney Parham Rd
#1
Little Rock, AR 72212-4187 - Phone
- (501) 223-3333
- Fax
- (501) 228-0252
- NPI assigned
- Apr 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Diane Kumarich, RN, MS, MBA
- Title
- National Contracts
- Phone
- (847) 303-5300
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Home Health Agency | 251E00000X | AR4090 | AR | Primary |
| Home Infusion Agency | 251F00000X | AR4768 | AR | |
| Nursing Care Agency | 251J00000X | AR4768 | AR |
Addresses
Primary practice location
11524 N Rodney Parham Rd
#1
Little Rock, AR 72212-4187
Mailing address
2401 S Plum Grove Rd
Palatine, IL 60067
Phone (847) 303-5300
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 137741738 | Medicaid | AR | |
| 138499757 | Medicaid | AR | |
| 14192765 | Medicaid | AR | |
| 138507750 | Medicaid | AR | |
| 137740514 | Medicaid | AR | |
| 138506752 | Medicaid | AR | |
| 141492765 | Medicaid | AR | |
| 139100742 | Medicaid | AR | |
| 137742732 | Medicaid | AR |
Other names 1
- Care Network of Little Rock
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
11524 N Rodney Parham Rd
Ste 1
Little Rock, AR 72212
Phone (479) 621-8300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1365724800000",
"number": "1295790103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 S PLUM GROVE RD",
"city": "PALATINE",
"state": "IL",
"postal_code": "60067",
"telephone_number": "847-303-5300",
"fax_number": "847-303-5376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11524 N RODNEY PARHAM RD",
"address_2": "#1",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722124187",
"telephone_number": "501-223-3333",
"fax_number": "501-228-0252"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LITTLE ROCK HOME HEALTH AGENCY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-20",
"last_updated": "2013-04-12",
"status": "A",
"authorized_official_last_name": "KUMARICH",
"authorized_official_first_name": "DIANE",
"authorized_official_title_or_position": "NATIONAL CONTRACTS",
"authorized_official_telephone_number": "847-303-5300",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN, MS, MBA"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "AR",
"license": "AR4090",
"primary": true
},
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": "AR",
"license": "AR4768",
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "AR",
"license": "AR4768",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137741738",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "138499757",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "14192765",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "138507750",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137740514",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "138506752",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "141492765",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139100742",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137742732",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Care Network of Little Rock",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Apr 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.