Professional Home Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

AR4069(B) Issued in AR

Legal business name

PROFESSIONAL HOME CARE

Practice address

2010 Byers St
Batesville, AR 72501-6039

Phone

(870) 698-0797

NPI assigned

Mar 19, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shelley Garrett

Title

Office MGR

Phone

(870) 698-0797

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Professional Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Professional Home Care

  • Home Health Agency
  • Batesville, AR
  • NPI 1720014491
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Beard, P.T.A.

  • Physical Therapy Assistant
  • Batesville, AR
  • NPI 1962536177
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629192398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 BYERS ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725016039",
            "telephone_number": "870-698-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 BYERS ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725016039",
            "telephone_number": "870-698-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "870-698-0797"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AR",
            "license": "AR4069(B)",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136203765",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caroline Lois Praught, PTA
• Preferred Family Healthcare Inc (Health Resources of Arkansas)
• Alesha Presley
• Velvet Prewitt, LICENSED OPTICIAN
• Zoe L Price, COTA/L
• Professional Home Care
• Tammy Pruitt-Davidson
• Danita Puckett, PTA
• Kristy P Pullman
• Carlie Qualls, ECDT

• Home Health Agency in Batesville, AR
• Providers in Batesville, AR by specialty
• Home Health Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.