Organization Active NPI

Hospice Care Services

  • Community Based Hospice Care Agency
  • Pine Bluff, AR
National Provider Identifier
1851379507
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
AR3879 Issued in AR
Legal business name
HOSPICE CARE SERVICES
Practice address
3801 Camden Rd
Suite 12
Pine Bluff, AR 71603
Phone
(870) 534-4847
Fax
(870) 534-4884
NPI assigned
Jan 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Bud Millenbaugh
Title
VP Cfo
Phone
(870) 534-4847

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X AR3879 AR Primary

Addresses

Primary practice location

3801 Camden Rd
Suite 12
Pine Bluff, AR 71603

Mailing address

3801 Camden Rd
Suite 12
Pine Bluff, AR 71603
Phone (870) 534-4847

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
Aug 14, 2021 Change of OwnershipThis provider was the seller Affinity HospiceCCN 041560, AR, NPI 1932874757

Change of ownership 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851379507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 CAMDEN RD",
            "address_2": "SUITE 12",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "71603",
            "telephone_number": "870-534-4847",
            "fax_number": "870-534-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 CAMDEN RD",
            "address_2": "SUITE 12",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "71603",
            "telephone_number": "870-534-4847",
            "fax_number": "870-534-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLENBAUGH",
        "authorized_official_first_name": "BUD",
        "authorized_official_title_or_position": "VP CFO",
        "authorized_official_telephone_number": "870-534-4847",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AR",
            "license": "AR3879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

Verify at the official NPI Registry.