Baptist Memorial Homecare Forrest City

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

AR3875 Issued in AR

Legal business name

BAPTIST MEMORIAL HOMECARE FORREST CITY

Doing business as

Baptist Memorial Home Care and Hospice Forrest City

Practice address

1712 Lindauer Rd
Forrest City, AR 72335-2523

Phone

(870) 261-0188

NPI assigned

May 27, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gary Hughes

Title

Administrator

Phone

(870) 261-0188

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Baptist Memorial Home Care and Hospice Forrest City Doing business as

Tax ID family

Baptist Memorial Home Care and Hospice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Baptist Memorial Hospice

  dba Baptist Memorial Home Care and Hospice

  • Community Based Hospice Care Agency
  • Forrest City, AR
  • NPI 1306886320
  NPD tax ID

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376590331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723360090",
            "telephone_number": "870-261-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 LINDAUER RD",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723352523",
            "telephone_number": "870-261-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST MEMORIAL HOMECARE FORREST CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "870-261-0188"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AR",
            "license": "AR3875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCAR PROVIDER NUMBER",
            "identifier": "17128",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baptist Memorial Home Care and Hospice Forrest City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaneisha Austin, QBHP
• Paul Bailey III, LPC
• Sudesh Banaji, M.D
• Brandi Nicole Banks, CM
• Likeselam Bantu, PHARMD
• Baptist Memorial Hospice (Baptist Memorial Home Care and Hospice)
• Shanneka Barber
• Craig R Bardell, M.D.
• Amber Dawn Barnes, MCD, CCC-SLP
• Perlean Barnes

• Home Health Agency in Forrest City, AR
• Providers in Forrest City, AR by specialty
• Home Health Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.