Organization Active NPI

Elder Independence

Doing business as Eihc LLC

  • Home Health Agency
  • Bryant, AR
National Provider Identifier
1497136477
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2014-0078-A Issued in AR
Legal business name
ELDER INDEPENDENCE
Doing business as
Eihc LLC
Practice address
5200 Highway 5 N Ste 1
Bryant, AR 72022-9143
Phone
(501) 847-6102
NPI assigned
Jun 15, 2015
Last updated
Jun 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Authorized official

Name
Mrs. Genie Mosley
Title
Staffing Manager
Phone
(501) 847-6102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2014-0078-A AR Primary

Addresses

Primary practice location

5200 Highway 5 N Ste 1
Bryant, AR 72022-9143

Mailing address

5200 Highway 5 N Ste 1
P O Box157
Bryant, AR 72022-9143
Phone (501) 847-6102

Other identifiers 2

IdentifierTypeStateIssuer
206750752MedicaidAR
206751757MedicaidAR

Other names 1

  • EIHC LLC Doing business as

National Provider Directory

National Provider Directory

Locations

5200 Highway 5 N
Ste 1
Bryant, AR 72022
Phone (501) 847-6102

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1497136477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 HIGHWAY 5 N STE 1",
            "address_2": "P O BOX157",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720229143",
            "telephone_number": "501-847-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 HIGHWAY 5 N STE 1",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720229143",
            "telephone_number": "501-847-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDER INDEPENDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "MOSLEY",
        "authorized_official_first_name": "GENIE",
        "authorized_official_title_or_position": "STAFFING MANAGER",
        "authorized_official_telephone_number": "501-847-6102",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AR",
            "license": "2014-0078-A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206750752",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206751757",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EIHC LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 15, 2015; 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.