Active NPI
JCR Management Corporation
- Durable Medical Equipment & Medical Supplies
- Little Rock, AR
National Provider Identifier
1710658679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- JCR MANAGEMENT CORPORATION
- Practice address
- 202 S Rodney Parham Rd
Little Rock, AR 72205-4710 - Phone
- (870) 972-8062
- Fax
- (870) 345-7262
- NPI assigned
- Sep 21, 2021
- Organization subpart
- Yes
- Parent organization
- JCR MANAGEMENT CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brandi Melton
- Title
- President
- Phone
- (870) 972-8062
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Customized Equipment (DME) | 332BC3200X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X |
Addresses
Primary practice location
202 S Rodney Parham Rd
Little Rock, AR 72205-4710
Mailing address
824 Cobb St
Jonesboro, AR 72401-4110
Phone (870) 972-8062
Other names 1
- Baker HealthCare
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220614002154 | AR | DME Supplier - Medical Supply Company | 5698977007 | Practice locations: Little Rock, AR |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Jonesboro, AR
- NPI 1639156185
5698977007
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Baker Healthcare | Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Contracture Treatment Devices: Dynamic Splint|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Infrared Heating Pa… | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- JCR Management Corporation
- Part of
- JCR Management Corporation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Jonesboro, AR
- NPI 1639156185
Locations
824 Cobb St
Jonesboro, AR 72401
202 S Rodney Parham Rd
Ste 1
Little Rock, AR 72205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632182400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710979200000",
"number": "1710658679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "824 COBB ST",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724014110",
"telephone_number": "870-972-8062",
"fax_number": "870-345-7262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 S RODNEY PARHAM RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722054710",
"telephone_number": "870-972-8062",
"fax_number": "870-345-7262"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JCR MANAGEMENT CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "JCR MANAGEMENT CORPORATION",
"enumeration_date": "2021-09-21",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A",
"authorized_official_last_name": "MELTON",
"authorized_official_first_name": "BRANDI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "870-972-8062"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Baker HealthCare",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Baker HealthCare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.