Under God We Care Senior Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

UNDER GOD WE CARE SENIOR CARE LLC

Practice address

903 Towering Oaks Dr
Jacksonville, AR 72076-4853

Phone

(501) 259-2851

NPI assigned

Aug 7, 2021

Organization subpart

No

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

Authorized official

Name

Shana L Chism, HCA, LIA, MA, CNA

Title

Founder

Phone

(501) 259-2851

Specialties & licenses 1

Addresses

Other names 1

• Under God We Care Senior Care LLC Other name

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

{
    "created_epoch": "1628294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628294400000",
    "number": "1497429922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 TOWERING OAKS DR",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720764853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 TOWERING OAKS DR",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720764853",
            "telephone_number": "501-259-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNDER GOD WE CARE SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-07",
        "last_updated": "2021-08-07",
        "certification_date": "2021-08-07",
        "status": "A",
        "authorized_official_last_name": "CHISM",
        "authorized_official_first_name": "SHANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "501-259-2851",
        "authorized_official_credential": "HCA, LIA, MA, CNA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Under God We Care Senior Care LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2021; 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.