Organization Active NPI

Convacare Health Systems, LLC

  • Durable Medical Equipment & Medical Supplies
  • Searcy, AR
National Provider Identifier
1831157650
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
332BP3500X Issued in AR
Legal business name
CONVACARE HEALTH SYSTEMS, LLC
Practice address
2908 Hawkins Dr
Searcy, AR 72143-4802
Phone
(501) 305-3153
Fax
(501) 279-3796
NPI assigned
May 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
Joey Martin Wigggins
Title
Owner
Phone
(501) 305-3153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 332BP3500X AR Primary

Addresses

Primary practice location

2908 Hawkins Dr
Searcy, AR 72143-4802

Mailing address

2908 Hawkins Dr
Searcy, AR 72143-4802
Phone (501) 305-3153

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1831157650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 HAWKINS DR",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434802",
            "telephone_number": "501-305-3153",
            "fax_number": "501-279-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 HAWKINS DR",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434802",
            "telephone_number": "501-305-3153",
            "fax_number": "501-279-3796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVACARE HEALTH SYSTEMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "WIGGGINS",
        "authorized_official_first_name": "JOEY",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-305-3153"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": "332BP3500X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Searcy, AR

Sources for this page

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