Organization Active NPI

Assemblies of God Family Services Agency

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Hot Springs, AR
National Provider Identifier
1669677282
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
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 Directory

Locations

2325 Malvern Ave
Hot Springs, AR 71901
Phone (501) 262-1660

Specialties & licenses 4

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
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 Registry

Primary 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 Doing business as

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.

Verify at the official NPI Registry.