Organization Active NPI

State of Arkansas

Doing business as Pulaski County Health Unit

  • Home Health Agency
  • Little Rock, AR
National Provider Identifier
1801806955
Registry record updated Sep 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
AR4044 Issued in AR
Legal business name
STATE OF ARKANSAS
Doing business as
Pulaski County Health Unit
Practice address
3600 Cantrell Rd Ste 203
Pulaski County Health Unit
Little Rock, AR 72202-1892
Phone
(501) 280-3234
Fax
(501) 280-3240
NPI assigned
Aug 9, 2006
Organization subpart
Yes
Parent organization
AR DEPT OF HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 12, 2008

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

Authorized official

Name
Marilyn Evans, RN
Title
Home Health Administrator
Phone
(501) 661-2540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X AR4044 AR Primary

Addresses

Primary practice location

3600 Cantrell Rd Ste 203
Pulaski County Health Unit
Little Rock, AR 72202-1892

Mailing address

5800 W 10TH St
Suite 300
Little Rock, AR 72204-1764
Phone (501) 661-2614

Other identifiers 1

IdentifierTypeStateIssuer
104312514MedicaidAR

Other names 1

  • Pulaski County Health Unit Doing business as

National Provider Directory

National Provider Directory
Part of
State of Arkansas

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3600 Cantrell Rd
Ste 203
Little Rock, AR 72202
Phone (501) 280-3234

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221177600000",
    "number": "1801806955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 W 10TH ST",
            "address_2": "SUITE 300",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722041764",
            "telephone_number": "501-661-2614",
            "fax_number": "501-661-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 CANTRELL RD STE 203",
            "address_2": "PULASKI COUNTY HEALTH UNIT",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722021892",
            "telephone_number": "501-280-3234",
            "fax_number": "501-280-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF ARKANSAS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AR DEPT OF HEALTH",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-09-12",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "HOME HEALTH ADMINISTRATOR",
        "authorized_official_telephone_number": "501-661-2540",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AR",
            "license": "AR4044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104312514",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pulaski County Health Unit",
            "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 Sep 12, 2008; 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.