Organization Active NPI

State of Arkansas

  • Home Health Agency
  • Hope, AR
National Provider Identifier
1649280694
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
AR4251 Issued in AR
Legal business name
STATE OF ARKANSAS
Practice address
100 E 20TH
Suite E & F Hempstead County Health Unit
Hope, AR 71801-8213
Phone
(870) 777-9424
Fax
(870) 722-2049
NPI assigned
Aug 9, 2006
Organization subpart
Yes
Parent organization
STATE OF ARKANSASAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Authorized official

Name
Marilyn Evans, RN
Title
Home Health Administrator
Phone
(501) 661-2540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X AR4251 AR Primary

Addresses

Primary practice location

100 E 20TH
Suite E & F Hempstead County Health Unit
Hope, AR 71801-8213

Mailing address

5800 West 10TH Street
Suite 300
Little Rock, AR 72204-1764
Phone (501) 661-2614

Other identifiers 1

IdentifierTypeStateIssuer
104312514MedicaidAR

Other names 1

  • Hempstead County Health Unit Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Part of
State of Arkansas

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

100 E 20th St
Ste E
Hope, AR 71801
Phone (501) 722-1900

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Aug 1, 2016 Change of OwnershipThis provider was the seller Centerwell Home HealthCCN 047824, AR, NPI 1619327632

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1649280694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 WEST 10TH STREET",
            "address_2": "SUITE 300",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722041764",
            "telephone_number": "501-661-2614",
            "fax_number": "501-661-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E 20TH",
            "address_2": "SUITE E & F HEMPSTEAD COUNTY HEALTH UNIT",
            "city": "HOPE",
            "state": "AR",
            "postal_code": "718018213",
            "telephone_number": "870-777-9424",
            "fax_number": "870-722-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF ARKANSAS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF ARKANSAS",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "HOME HEALTH ADMINISTRATOR",
        "authorized_official_telephone_number": "501-661-2540",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AR",
            "license": "AR4251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104312514",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hempstead County Health Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hope, AR

Sources for this page

Verify at the official NPI Registry.