Active NPI
Katherine'S Little Angels Adult Care Center
- Adult Day Care Clinic/Center
- Pine Bluff, AR
National Provider Identifier
1558910224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- KATHERINE'S LITTLE ANGELS ADULT CARE CENTER
- Practice address
- 2006 W 27TH Ave
Pine Bluff, AR 71603-5182 - Phone
- (870) 850-7797
- Fax
- (870) 850-7797
- NPI assigned
- Sep 5, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lashaun Renee McFadden
- Title
- Chief Executive Officer
- Phone
- (870) 850-7797
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
2006 W 27TH Ave
Pine Bluff, AR 71603-5182
Mailing address
2006 W 27TH Ave
Pine Bluff, AR 71603-5182
Phone (870) 850-7797
National Provider Directory
National Provider DirectoryLocations
2006 W 27th Ave
Pine Bluff, AR 71603
Phone (870) 850-7797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1567641600000",
"number": "1558910224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2006 W 27TH AVE",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716035182",
"telephone_number": "870-850-7797",
"fax_number": "870-850-7797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2006 W 27TH AVE",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716035182",
"telephone_number": "870-850-7797",
"fax_number": "870-850-7797"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATHERINE'S LITTLE ANGELS ADULT CARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-05",
"last_updated": "2019-09-05",
"status": "A",
"authorized_official_last_name": "MCFADDEN",
"authorized_official_first_name": "LASHAUN",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "870-850-7797",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pine Bluff, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.