Southeast Arkansas Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

AR4239 Issued in AR

Legal business name

SOUTHEAST ARKANSAS HOSPICE, LLC

Practice address

629 Oakland Ave
Helena, AR 72342-1503

Phone

(870) 753-9225

Fax

(870) 753-9230

NPI assigned

Oct 4, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Clifford Raspberry Flowers Sr.

Title

Owner

Phone

(870) 753-9225

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790871465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 OAKLAND AVE",
            "city": "HELENA",
            "state": "AR",
            "postal_code": "723421503",
            "telephone_number": "870-753-9225",
            "fax_number": "870-753-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 OAKLAND AVE",
            "city": "HELENA",
            "state": "AR",
            "postal_code": "723421503",
            "telephone_number": "870-753-9225",
            "fax_number": "870-753-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST ARKANSAS HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLOWERS",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "RASPBERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-753-9225",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AR",
            "license": "AR4239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "11566",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chastity Skaggs, COTA/L
• Jasmine S Smith
• Shelia Smith, RN
• Tracy Michelle Snyder, RDH
• Torrey Antonio Solomon
• Celia B St.Columbia, M.S., CCC-SLP
• Staley House LLC
• Jessica Price Stevens
• Brittany Stevenson, PLMSW
• Todd Christopher Stewart, D.D.S., P.A.

• Community Based Hospice Care Agency in Helena, AR
• Providers in Helena, AR by specialty
• Community Based Hospice Care Agency in Arkansas

• 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.