Hagood Holdings, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HAGOOD HOLDINGS, LLC

Doing business as

allheart Senior Care of Arkansas

Practice address

322 S State St Ste 101
Little Rock, AR 72201-2116

Phone

(501) 772-6779

Fax

(888) 501-2033

NPI assigned

Apr 26, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Jarred Dewitt Hagood

Title

Owner

Phone

(501) 529-6543

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• allheart Senior Care of Arkansas Doing business as

Locations

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1427612209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 S STATE ST STE 101",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722012116",
            "telephone_number": "501-772-6779",
            "fax_number": "888-501-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 S STATE ST STE 101",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722012116",
            "telephone_number": "501-772-6779",
            "fax_number": "888-501-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAGOOD HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-26",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "HAGOOD",
        "authorized_official_first_name": "JARRED",
        "authorized_official_middle_name": "DEWITT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-529-6543",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "228688765",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "228687797",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "228690732",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "228686757",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "allheart Senior Care of Arkansas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "allheart Senior Care of Arkansas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abdel-Nabi Hadi
• Mohib Hafeez, MD
• Nourhan Jamal Abdulaziz Hafez
• James E Hagans III, M.D.
• Lauren Hagewood, QBHP
• Joshua Hagood
• Ladonnya Hagood, MHPP
• Hoda Hagrass, MD,PHD
• Herbert L Hahn, M.D.
• Jerald Christopher Hailey, PHARM. D

• In Home Supportive Care Agency in Little Rock, AR
• Providers in Little Rock, AR by specialty
• In Home Supportive Care Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.