Black River Area Development Corp. Senior Citizens Program

Primary specialty

Home Delivered MealsTaxonomy code 332U00000X

Legal business name

BLACK RIVER AREA DEVELOPMENT CORP. SENIOR CITIZENS PROGRAM

Practice address

1403 Hospital Dr
Pocahontas, AR 72455-3847

Phone

(870) 892-4547

Fax

(870) 892-0707

NPI assigned

Apr 23, 2008

Last updated

Jun 1, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

BLACK RIVER AREA DEVELOPMENT CORP. SENIOR CITIZENS PROGRAMAs reported in NPPES

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

Authorized official

Name

Amy ThomasNPI 1770624132

Title

Executive Director

Phone

(870) 892-4547

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Black River Area Development Corp Senior Citizens Program2 organizations share this tax ID, including this one

Part of

Black River Area Development Corp Senior Citizens Program

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Black River Area Development Corp. Senior Citizens Program

  • Non-emergency Medical Transport (VAN)
  • Pocahontas, AR
  • NPI 1194657692
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy O'Neal Thomas, LCSW

  • Clinical Social Worker
  • Pocahontas, AR
  • NPI 1770624132
  NPD Authorized official

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1306011200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 HOSPITAL DR",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724553847",
            "telephone_number": "870-892-4547",
            "fax_number": "870-892-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 HOSPITAL DR",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724553847",
            "telephone_number": "870-892-4547",
            "fax_number": "870-892-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK RIVER AREA DEVELOPMENT CORP. SENIOR CITIZENS PROGRAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLACK RIVER AREA DEVELOPMENT CORP. SENIOR CITIZENS PROGRAM",
        "enumeration_date": "2008-04-23",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "870-892-4547"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120546753",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis Geary Basco, DC
• Juliana M Bennett, LCSW
• Amanda Jane Billingsley, APRN, FNP
• Black River Anesthesia, PLC
• Black River Area Development Corp. Senior Citizens Program
• Stephen K. Blackburn, M.D.
• Kelley Blackwell, OTR/L
• Janice Kathryn Bonner, LCSW
• Amy Marie Bounds, QBHP
• Amy D. Bradley, D.C.

• Home Delivered Meals in Pocahontas, AR
• Providers in Pocahontas, AR by specialty
• Home Delivered Meals in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.