Organization Active NPI

Saline Hospital LLC

Doing business as Home Health and Hospice Services of Saline Memorial Hospital

  • Home Health Agency
  • Bryant, AR
National Provider Identifier
1801970710
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
AR5221 Issued in AR
Legal business name
SALINE HOSPITAL LLC
Doing business as
Home Health and Hospice Services of Saline Memorial Hospital
Practice address
23157 Interstate 30 S
Bryant, AR 72022-9905
Phone
(501) 315-0136
Fax
(501) 776-6677
NPI assigned
Oct 25, 2006
Last updated
Jul 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Authorized official

Name
Kathy J. Teague
Title
Secretary
Phone
(615) 920-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X AR5221 AR Primary

Addresses

Primary practice location

23157 Interstate 30 S
Bryant, AR 72022-9905

Mailing address

1 Medical Park Dr
Benton, AR 72015-3353
Phone (501) 776-6000

Other names 1

  • Home Health and Hospice Services of Saline Memorial Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jan 1, 2020 Change of OwnershipThis provider was the seller Saline Memorial Home HealthCCN 047043, AR, NPI 1164071395

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564358400000",
    "number": "1801970710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK DR",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153353",
            "telephone_number": "501-776-6000",
            "fax_number": "501-776-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23157 INTERSTATE 30 S",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720229905",
            "telephone_number": "501-315-0136",
            "fax_number": "501-776-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALINE HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2019-07-29",
        "status": "A",
        "authorized_official_last_name": "TEAGUE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AR",
            "license": "AR5221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Health and Hospice Services of Saline Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Home Health and Hospice Services of Saline Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bryant, AR

Sources for this page

Verify at the official NPI Registry.