Organization Active NPI

East Arkansas Area Agency on Aging, Inc.

  • Case Management Agency
  • Jonesboro, AR
National Provider Identifier
1801973904
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
EAST ARKANSAS AREA AGENCY ON AGING, INC.
Practice address
2005 E Highland Dr
Jonesboro, AR 72401-6123
Phone
(870) 930-2212
Fax
(870) 930-2230
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Authorized official

Name
Tammy Darr
Title
Assistant Director of Finance
Phone
(870) 930-2212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

2005 E Highland Dr
Jonesboro, AR 72401-6123

Mailing address

PO Box 5035
Jonesboro, AR 72403-5035
Phone (870) 930-2212

Other identifiers 2

IdentifierTypeStateIssuer
120547765MedicaidAR
164423798MedicaidAR

National Provider Directory

National Provider Directory
Tax ID family
East Arkansas Area Agency on Aging Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2005 E Highland Dr
Jonesboro, AR 72401
Phone (870) 930-2212

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1801973904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5035",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724035035",
            "telephone_number": "870-930-2212",
            "fax_number": "870-930-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 E HIGHLAND DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016123",
            "telephone_number": "870-930-2212",
            "fax_number": "870-930-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST ARKANSAS AREA AGENCY ON AGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "DARR",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "870-930-2212"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120547765",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164423798",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

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