Organization Active NPI

Deborahs Heart & Care Agency, LLC

  • In Home Supportive Care Agency
  • Little Rock, AR
National Provider Identifier
1629619069
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DEBORAHS HEART & CARE AGENCY, LLC
Doing business as
Deborahs Heart & Care Agency, LLC
Practice address
2020 W 3Rd St Ste 212
Little Rock, AR 72205-4463
Phone
(501) 747-1498
NPI assigned
Oct 7, 2019
Last updated
Apr 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Authorized official

Name
Shanekia Smith
Title
Registered Nurse/Administrator
Phone
(501) 216-3971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2020 W 3Rd St Ste 212
Little Rock, AR 72205-4463

Mailing address

PO Box 853
Bryant, AR 72089-0853
Phone (501) 216-3971

Other names 1

  • Deborahs Heart & Care Agency, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

2020 W 3rd St
Ste 212
Little Rock, AR 72205
Phone (501) 747-1498

NPI Registry JSON

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1629619069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 853",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720890853",
            "telephone_number": "501-216-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 W 3RD ST STE 212",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054463",
            "telephone_number": "501-747-1498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAHS HEART & CARE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-07",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHANEKIA",
        "authorized_official_title_or_position": "REGISTERED NURSE/ADMINISTRATOR",
        "authorized_official_telephone_number": "501-216-3971"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deborahs Heart & Care Agency, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Deborahs Heart & Care Agency, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 12, 2022; 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.