Southeast Arkansas Hospice LTD Co

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

AR4100 Issued in AR

Legal business name

SOUTHEAST ARKANSAS HOSPICE LTD CO

Practice address

1401 S State St
Suite a
Pine Bluff, AR 71601-5856

Phone

(870) 850-7152

Fax

(870) 850-7413

NPI assigned

Oct 4, 2006

Last updated

Mar 30, 2012By 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) 850-7152

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1811083587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S STATE ST",
            "address_2": "SUITE A",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716015856",
            "telephone_number": "870-850-7152",
            "fax_number": "870-850-7413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S STATE ST",
            "address_2": "SUITE A",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716015856",
            "telephone_number": "870-850-7152",
            "fax_number": "870-850-7413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST ARKANSAS HOSPICE LTD CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2012-03-30",
        "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": "870-850-7152",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AR",
            "license": "AR4100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "11566",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148705747",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South East Arkansas Lab & SCR SVCS
• Southeast Arkansas Behavioral Healthcare System Inc
• Southeast Arkansas Behavioral Healthcare System, Inc
• Southeast Arkansas Emergency Physicians LLP
• Southeast Arkansas Emergency Physicians LLP
• Southeast Arkansas Hospitalists, LLP
• Southeast Arkansas Oncology, PA (Arkansas Cancer Institute of Pine Bluff)
• Southeast Arkansas Physical Therapy, Inc.
• Southeast Arkansas Preparatory High School
• Southeast Arkansas Primary Care Associates

• Community Based Hospice Care Agency in Pine Bluff, AR
• Providers in Pine Bluff, 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 Mar 30, 2012; 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.