Organization Active NPI

Sheltered Wkshp of Crittenden Co Inc

Doing business as Eastark Enterprises

  • Developmentally Disabled Services Day Training Agency
  • West Memphis, AR
National Provider Identifier
1801001458
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
SHELTERED WKSHP OF CRITTENDEN CO INC
Doing business as
Eastark Enterprises
Practice address
401 S Woods St
West Memphis, AR 72301-4355
Phone
(870) 732-2750
Fax
(870) 735-8171
NPI assigned
May 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Mrs. Janie C Spence, CWA
Title
Co-Director
Phone
(870) 732-4159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X AR Primary

Addresses

Primary practice location

401 S Woods St
West Memphis, AR 72301-4355

Mailing address

401 S Woods St
West Memphis, AR 72301-4355
Phone (870) 732-2750

Other names 1

  • EASTARK ENTERPRISES Doing business as

National Provider Directory

National Provider Directory

Locations

401 S Woods St
West Memphis, AR 72301
Phone (870) 732-2750

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801001458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S WOODS ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723014355",
            "telephone_number": "870-732-2750",
            "fax_number": "870-735-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S WOODS ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723014355",
            "telephone_number": "870-732-2750",
            "fax_number": "870-735-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELTERED WKSHP OF CRITTENDEN CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPENCE",
        "authorized_official_first_name": "JANIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "870-732-4159",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CWA"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EASTARK ENTERPRISES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Memphis, 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.