NPIMap

Organization Active NPI

Southeast Arkansas Home Health

  • Personal Care Attendant
  • MC Gehee, AR
National Provider Identifier
1740266147
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
AR4067(B) Issued in AR
Legal business name
SOUTHEAST ARKANSAS HOME HEALTH
Practice address
901 S 3Rd St
MC Gehee, AR 71654-2563
Phone
(870) 222-3805
Fax
(870) 222-3984
NPI assigned
Dec 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Angie Snow, LPN
Title
Billing/Staff Nurse
Phone
(870) 222-3805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X AR4067(B) AR Primary

Addresses

Primary practice location

901 S 3Rd St
MC Gehee, AR 71654-2563

Mailing address

PO Box 351
MC Gehee, AR 71654-0351
Phone (870) 222-3805

Other names 1

  • McGehee Desha County Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
McGehee Desha County Hospital4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

901 S 3rd St
McGehee, AR 71654
Phone (870) 222-3805

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740266147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 351",
            "city": "MC GEHEE",
            "state": "AR",
            "postal_code": "716540351",
            "telephone_number": "870-222-3805",
            "fax_number": "870-222-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S 3RD ST",
            "city": "MC GEHEE",
            "state": "AR",
            "postal_code": "716542563",
            "telephone_number": "870-222-3805",
            "fax_number": "870-222-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST ARKANSAS HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SNOW",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "BILLING/STAFF NURSE",
        "authorized_official_telephone_number": "870-222-3805",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "AR",
            "license": "AR4067(B)",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McGehee Desha County Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in MC Gehee, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.