Active NPI
Advanced Personal Care, LLC
- In Home Supportive Care Agency
- Mountain View, AR
National Provider Identifier
1306410865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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, 2022
- 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
- Nancy Dickerson
- Title
- Member
- Phone
- (501) 472-7391
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 216.134.242.166 | Direct |
National Provider Directory
National Provider DirectoryLocations
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.