Organization Active NPI

Community Empowerment Council, Inc.

Doing business as Margie's House

  • Social Worker
  • Pine Bluff, AR
National Provider Identifier
1700150471
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
COMMUNITY EMPOWERMENT COUNCIL, INC.
Doing business as
Margie's House
Practice address
5830 Hwy 65 South
Pine Bluff, AR 71601
Phone
(870) 536-1600
Fax
(870) 536-1601
NPI assigned
Feb 28, 2012
Last updated
Oct 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Authorized official

Name
Antonio Jermaine Anderson
Title
Administrative Director
Phone
(870) 536-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X AR Primary

Addresses

Primary practice location

5830 Hwy 65 South
Pine Bluff, AR 71601

Mailing address

5830 Hwy 65 South
Pine Bluff, AR 71601
Phone (870) 536-1600

Other identifiers 1

IdentifierTypeStateIssuer
193355744MedicaidAR

Other names 1

  • Margie's House Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1700150471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 HWY 65 SOUTH",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "71601",
            "telephone_number": "870-536-1600",
            "fax_number": "870-536-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 HWY 65 SOUTH",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "71601",
            "telephone_number": "870-536-1600",
            "fax_number": "870-536-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY EMPOWERMENT COUNCIL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-28",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "JERMAINE",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "870-536-1600"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193355744",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Margie's House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pine Bluff, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.