Organization Active NPI

Easter Seals Arkansas

  • Health Service Clinic/Center
  • Little Rock, AR
National Provider Identifier
1508095290
Registry record updated Jul 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
EASTER SEALS ARKANSAS
Practice address
3920 Woodland Heights Rd
Little Rock, AR 72212-2495
Phone
(501) 227-3600
Fax
(501) 227-3606
NPI assigned
Jul 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2009

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

Authorized official

Name
Stephanie Smith
Title
Vice President Admin & Finance
Phone
(501) 227-3662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

3920 Woodland Heights Rd
Little Rock, AR 72212-2495

Mailing address

3920 Woodland Heights Rd
Little Rock, AR 72212-2495
Phone (501) 227-3600

Other identifiers 1

IdentifierTypeStateIssuer
142411724MedicaidAR

Other names 1

  • Arkansas Easter Seal Society Other name

National Provider Directory

National Provider Directory
Tax ID family
Arkansas Easter Seal Society10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3920 Woodland Heights Rd
Little Rock, AR 72212
Phone (501) 227-3600

NPI Registry JSON

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1508095290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 WOODLAND HEIGHTS RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722122495",
            "telephone_number": "501-227-3600",
            "fax_number": "501-227-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 WOODLAND HEIGHTS RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722122495",
            "telephone_number": "501-227-3600",
            "fax_number": "501-227-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS ARKANSAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-02",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "VICE PRESIDENT ADMIN & FINANCE",
        "authorized_official_telephone_number": "501-227-3662"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142411724",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arkansas Easter Seal Society",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.