Crittenden Adult Care Services

Primary specialty

Respite CareTaxonomy code 385H00000X

License

120 Issued in AR

Legal business name

CRITTENDEN ADULT CARE SERVICES

Practice address

718 E Broadway St
West Memphis, AR 72301-4449

Phone

(870) 733-1235

NPI assigned

Nov 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Andrew Bass

Title

Owner

Phone

(901) 649-6116

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1163203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256256000000",
    "number": "1376614495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723030056",
            "telephone_number": "870-733-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 E BROADWAY ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723014449",
            "telephone_number": "870-733-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRITTENDEN ADULT CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-11",
        "last_updated": "2009-10-23",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-649-6116",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "AR",
            "license": "120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16010750",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160110757",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160109755",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160108752",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rena Crawford, CDA, MHPP
• Shaquilla Crawford
• Brianna D Crayton
• Kimberly Latashia Crenshaw, M.D.
• Roger Dale Criner Jr., MD
• Crittenden Adult Care Services L.L.C.
• Crittenden Ambulance Service Corp
• Crittenden Cares, Inc
• Crittenden Cares, Inc
• Crittenden Cares, Inc.

• Respite Care in West Memphis, AR
• Providers in West Memphis, AR by specialty
• Respite Care in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; 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.