Organization Active NPI

Kels Adult Day Healthcare

  • Adult Day Care Clinic/Center
  • Jacksonville, AR
National Provider Identifier
1639380231
Registry record updated Aug 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
KELS ADULT DAY HEALTHCARE
Practice address
601 N 1St St
Suite 4 & 5
Jacksonville, AR 72076-4117
Phone
(501) 241-0008
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2007

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

Authorized official

Name
Kimberly Lasker
Title
Program Director
Phone
(501) 241-0008

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X AR
Home Health Agency 251E00000X AR
Adult Day Care Clinic/Center 261QA0600X AR Primary
Adult Day Care Clinic/Center 261QA0600X AR
Respite Care 385H00000X AR

Addresses

Primary practice location

601 N 1St St
Suite 4 & 5
Jacksonville, AR 72076-4117

Mailing address

PO Box 2095
Conway, AR 72033-2095

National Provider Directory

National Provider Directory

Locations

601 N 1st St
Ste 4
Jacksonville, AR 72076
Phone (501) 241-0008

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186704000000",
    "number": "1639380231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2095",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720332095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N 1ST ST",
            "address_2": "SUITE 4 & 5",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720764117",
            "telephone_number": "501-241-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELS ADULT DAY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-08-10",
        "status": "A",
        "authorized_official_last_name": "LASKER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "501-241-0008"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AR",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AR",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "AR",
            "license": null,
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "AR",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "AR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; 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.