Individual provider Active NPI

Faribi Mache Hill, MHPP

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Bryant, AR
National Provider Identifier
1407089873
Registry record updated Sep 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
905273501 Issued in AR
Practice address
21815 I 30
Bryant, AR 72022-8031
Phone
(501) 594-5200
Fax
(501) 594-5244
NPI assigned
Sep 1, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 905273501 AR Primary

Addresses

Primary practice location

21815 I 30
Bryant, AR 72022-8031

Mailing address

21815 I 30
Bryant, AR 72022-8031
Phone (501) 594-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
905273501ARMDEmotionally Disturbed Childrens' Residential Treatment Facility

NPI Registry JSON

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251763200000",
    "number": "1407089873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21815 I 30",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720228031",
            "telephone_number": "501-594-5200",
            "fax_number": "501-594-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21815 I 30",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720228031",
            "telephone_number": "501-594-5200",
            "fax_number": "501-594-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "FARIBI",
        "middle_name": "MACHE",
        "name_prefix": "Mrs.",
        "credential": "MHPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-01",
        "last_updated": "2009-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "AR",
            "license": "905273501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryant, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.