Organization Active NPI

Advanced Personal Care, LLC

  • In Home Supportive Care Agency
  • Mountain View, AR
National Provider Identifier
1306410865
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ADVANCED PERSONAL CARE, LLC
Practice address
309 S Peabody Ave
Mountain View, AR 72560-9774
Phone
(870) 269-7043
Fax
(870) 269-7045
NPI assigned
May 18, 2021
Last updated
Sep 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Authorized official

Name
Nancy Dickerson
Title
Member
Phone
(501) 472-7391

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X NU
Personal Care Attendant 3747P1801X NU
Respite Care 385H00000X NU
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

309 S Peabody Ave
Mountain View, AR 72560-9774

Mailing address

PO Box 2870
Mountain View, AR 72560-2870
Phone (870) 269-7043

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 216.134.242.166 Direct

National Provider Directory

National Provider Directory

Locations

309 S Peabody Ave
Mountain View, AR 72560
Phone (870) 269-7043

NPI Registry JSON

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1306410865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2870",
            "city": "MOUNTAIN VIEW",
            "state": "AR",
            "postal_code": "725602870",
            "telephone_number": "870-269-7043",
            "fax_number": "870-269-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 S PEABODY AVE",
            "city": "MOUNTAIN VIEW",
            "state": "AR",
            "postal_code": "725609774",
            "telephone_number": "870-269-7043",
            "fax_number": "870-269-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PERSONAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-18",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "501-472-7391"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "216.134.242.166",
            "affiliation": "N",
            "endpointDescription": "IP",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct",
            "address_1": "309 S Peabody Ave",
            "city": "Mountain View",
            "state": "AR",
            "country_code": "US",
            "postal_code": "725609774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mountain View, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.