Active NPI
Atera Home Care
- In Home Supportive Care Agency
- Bentonville, AR
National Provider Identifier
1366082521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- ATERA HOME CARE
- Practice address
- 3803 SW Sandstone Ave
Bentonville, AR 72712-8646 - Phone
- (479) 350-0550
- NPI assigned
- Jan 15, 2020
- 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. Leah Knight
- Title
- Owner/Marketing Manager
- Phone
- (479) 350-0550
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Child Physical Disabilities Respite Care | 385HR2065X |
Addresses
Primary practice location
3803 SW Sandstone Ave
Bentonville, AR 72712-8646
Mailing address
3803 SW Sandstone Ave
Bentonville, AR 72712-8646
Phone (479) 350-0550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 236664732 | Medicaid | AR |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1579046400000",
"number": "1366082521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3803 SW SANDSTONE AVE",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727128646",
"telephone_number": "479-350-0550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3803 SW SANDSTONE AVE",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727128646",
"telephone_number": "479-350-0550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATERA HOME CARE",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-15",
"last_updated": "2020-01-15",
"certification_date": "2020-01-15",
"status": "A",
"authorized_official_last_name": "KNIGHT",
"authorized_official_first_name": "LEAH",
"authorized_official_title_or_position": "OWNER/MARKETING MANAGER",
"authorized_official_telephone_number": "479-350-0550",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "385HR2065X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Physical Disabilities, Child",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "236664732",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.