Active NPI
Assemblies of God Family Services Agency
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Hot Springs, AR
National Provider Identifier
1669677282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Legal business name
- ASSEMBLIES OF GOD FAMILY SERVICES AGENCY
- Practice address
- 2325 Malvern Ave
Hot Springs, AR 71901-8037 - Phone
- (501) 262-1660
- Fax
- (501) 262-0115
- NPI assigned
- Jun 15, 2007
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mr. Jay Mooney
- Title
- Executive Director
- Phone
- (501) 262-1660
National Provider Directory
National Provider DirectoryLocations
2325 Malvern Ave
Hot Springs, AR 71901
Phone (501) 262-1660
Specialties & licenses 4
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Foster Care Agency | 253J00000X | |||
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | Primary | ||
| Child Physical Disabilities Respite Care | 385HR2065X |
Addresses
NPPES NPI RegistryPrimary practice location
2325 Malvern Ave
Hot Springs, AR 71901-8037
Mailing address
2325 Malvern Ave
Hot Springs, AR 71901-8037
Phone (501) 262-1660
Other names 1
NPPES NPI Registry- COMPACT Family Services
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 8, 2015.
{
"created_epoch": "1181865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1431043200000",
"number": "1669677282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2325 MALVERN AVE",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719018037",
"telephone_number": "501-262-1660",
"fax_number": "501-262-0115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2325 MALVERN AVE",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719018037",
"telephone_number": "501-262-1660",
"fax_number": "501-262-0115"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSEMBLIES OF GOD FAMILY SERVICES AGENCY",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-15",
"last_updated": "2015-05-08",
"status": "A",
"authorized_official_last_name": "MOONEY",
"authorized_official_first_name": "JAY",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "501-262-1660",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": null,
"license": null,
"primary": false
},
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": null,
"license": null,
"primary": true
},
{
"code": "385HR2065X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Physical Disabilities, Child",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "COMPACT Family Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hot Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.