Organization Active NPI

Allcare Homecare LLC

  • In Home Supportive Care Agency
  • Forrest City, AR
National Provider Identifier
1346607645
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
AR5162 Issued in AR
Legal business name
ALLCARE HOMECARE LLC
Practice address
101 S Washington St
Suite 102
Forrest City, AR 72335-3859
Phone
(870) 280-2523
Fax
(870) 280-2536
NPI assigned
Jan 19, 2016
Last updated
Jan 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Authorized official

Name
Sonia Marie Boling, LPN
Title
Director
Phone
(870) 933-2273

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X AR5162 AR
In Home Supportive Care Agency 253Z00000X AR5162 AR Primary

Addresses

Primary practice location

101 S Washington St
Suite 102
Forrest City, AR 72335-3859

Mailing address

521 Southwest Dr
Jonesboro, AR 72401-5870
Phone (870) 933-2273

Other identifiers 7

IdentifierTypeStateIssuer
200399754MedicaidAR
193932796MedicaidAR
192604752MedicaidAR
19277798MedicaidAR
193931797MedicaidAR
192793757MedicaidAR
194779765MedicaidAR

National Provider Directory

National Provider Directory
Tax ID family
Allcare Homecare LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1346607645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 SOUTHWEST DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015870",
            "telephone_number": "870-933-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S WASHINGTON ST",
            "address_2": "SUITE 102",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723353859",
            "telephone_number": "870-280-2523",
            "fax_number": "870-280-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLCARE HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-20",
        "status": "A",
        "authorized_official_last_name": "BOLING",
        "authorized_official_first_name": "SONIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "870-933-2273",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AR",
            "license": "AR5162",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "AR",
            "license": "AR5162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200399754",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193932796",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192604752",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19277798",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193931797",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192793757",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194779765",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forrest City, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.