NPIMap

Organization Active NPI

Professional Home Care

  • Home Health Agency
  • Batesville, AR
National Provider Identifier
1720014491
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
251E00000X Issued in AR
Legal business name
PROFESSIONAL HOME CARE
Practice address
2000 Harrison St
Suite E
Batesville, AR 72501-7442
Phone
(870) 698-0797
Fax
(870) 698-1057
NPI assigned
Jun 24, 2006
Organization subpart
Yes
Parent organization
APPROVE HOME MEDICALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Authorized official

Name
Mrs. Shelley Garrett
Title
Office MGR
Phone
(870) 698-0797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 251E00000X AR Primary

Addresses

Primary practice location

2000 Harrison St
Suite E
Batesville, AR 72501-7442

Mailing address

2000 Harrison St
Suite E
Batesville, AR 72501-7442
Phone (870) 698-0797

Other identifiers 9

IdentifierTypeStateIssuer
117210738MedicaidAR
135909752MedicaidAR
17118OtherARBLUE CROSS
117211514MedicaidAR
136203765MedicaidAR
187290742MedicaidAR
117212732MedicaidAR
135910757MedicaidAR
216809514MedicaidAR

National Provider Directory

National Provider Directory
Tax ID family
Professional Home Care2 organizations share this tax ID, including this one
Part of
Approve Home Medical Services Inc

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1720014491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HARRISON ST",
            "address_2": "SUITE E",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017442",
            "telephone_number": "870-698-0797",
            "fax_number": "870-698-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 HARRISON ST",
            "address_2": "SUITE E",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017442",
            "telephone_number": "870-698-0797",
            "fax_number": "870-698-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HOME CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "APPROVE HOME MEDICAL",
        "enumeration_date": "2006-06-24",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "870-698-0797",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AR",
            "license": "251E00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117210738",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135909752",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "17118",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117211514",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136203765",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187290742",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117212732",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135910757",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216809514",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.