J & S Fry Enterprises, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

AR4568 Issued in AR

Legal business name

J & S FRY ENTERPRISES, INC.

Practice address

3800 Rogers Ave
Suite 1
Fort Smith, AR 72903-3046

Phone

(479) 434-6960

Fax

(479) 434-6962

NPI assigned

Oct 2, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Jonathan G. Fry

Title

Owner/President

Phone

(479) 434-6960

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Home Instead Senior Care Doing business as

Locations

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

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254441600000",
    "number": "1578898912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 ROGERS AVE",
            "address_2": "SUITE 1",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033046",
            "telephone_number": "479-434-6960",
            "fax_number": "479-434-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 ROGERS AVE",
            "address_2": "SUITE 1",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033046",
            "telephone_number": "479-434-6960",
            "fax_number": "479-434-6962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & S FRY ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-02",
        "last_updated": "2009-10-02",
        "status": "A",
        "authorized_official_last_name": "FRY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "479-434-6960",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "AR",
            "license": "AR4568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177168732",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178410765",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164232752",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177616796",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164231757",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Fort Smith, AR
• Providers in Fort Smith, 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 Oct 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.