Organization Active NPI

DM Parks Inc., Dba Comfort Keepers

  • In Home Supportive Care Agency
  • Russellville, AR
National Provider Identifier
1679113583
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DM PARKS INC., DBA COMFORT KEEPERS
Practice address
5068 N Arkansas Ave
Russellville, AR 72802-8325
Phone
(479) 498-6560
Fax
(479) 498-6568
NPI assigned
Jan 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Authorized official

Name
Ms. Melissa Christine Johnson
Title
Operations Manager
Phone
(479) 498-6560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

5068 N Arkansas Ave
Russellville, AR 72802-8325

Mailing address

5068 N Arkansas Ave
Russellville, AR 72802-8325
Phone (479) 498-6560

National Provider Directory

National Provider Directory

Locations

5068 N Arkansas Ave
Russellville, AR 72802
Phone (479) 498-6560

NPI Registry JSON

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1679113583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5068 N ARKANSAS AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728028325",
            "telephone_number": "479-498-6560",
            "fax_number": "479-498-6568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5068 N ARKANSAS AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728028325",
            "telephone_number": "479-498-6560",
            "fax_number": "479-498-6568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DM PARKS INC., DBA COMFORT KEEPERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "479-498-6560",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.