Organization Active NPI

Communities Home Health Therapy

  • Home Health Registered Nurse
  • Springdale, AR
National Provider Identifier
1669683033
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
AR4234 Issued in AR
Legal business name
COMMUNITIES HOME HEALTH THERAPY
Practice address
409 West Maple
Springdale, AR 72765
Phone
(479) 751-1601
Fax
(479) 750-6501
NPI assigned
May 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Shawn A Barnett
Title
Cfo
Phone
(479) 757-4011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WH0200X AR4234 AR Primary

Addresses

Primary practice location

409 West Maple
Springdale, AR 72765

Mailing address

409 W Maple
Springdale, AR 72765
Phone (479) 751-1601

Other identifiers 3

IdentifierTypeStateIssuer
17020OtherARBCBS
136145514MedicaidAR
13625742MedicaidAR

Other names 1

  • Communities Homes Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northwest Internal Medi3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

409 W Maple Ave
Springdale, AR 72764
Phone (479) 751-1601

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1669683033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W MAPLE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "72765",
            "telephone_number": "479-751-1601",
            "fax_number": "479-750-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 WEST MAPLE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "72765",
            "telephone_number": "479-751-1601",
            "fax_number": "479-750-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITIES HOME HEALTH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "479-757-4011"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "AR",
            "license": "AR4234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "17020",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136145514",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13625742",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Communities Homes Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.