Organization Active NPI

State of Arkansas

Doing business as AR Dept of Health & Human Services Home Health

  • Home Health Agency
  • Little Rock, AR
National Provider Identifier
1861402901
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
AR3971 Issued in AR
Legal business name
STATE OF ARKANSAS
Doing business as
AR Dept of Health & Human Services Home Health
Practice address
5800 W 10TH St
Suite 300 Arkansas Dept of Health and Human Services
Little Rock, AR 72204-1752
Phone
(501) 661-2614
Fax
(501) 661-2975
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Authorized official

Name
Marilyn Evans, RN
Title
Home Health Administrator
Phone
(501) 661-2540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X AR3971 AR Primary

Addresses

Primary practice location

5800 W 10TH St
Suite 300 Arkansas Dept of Health and Human Services
Little Rock, AR 72204-1752

Mailing address

5800 West Tenth Street
Suite 300 Arkansas Dept of Health
Little Rock, AR 72204
Phone (501) 661-2614

Other names 1

  • AR Dept of Health & Human Services Home Health Doing business as

National Provider Directory

National Provider Directory

Locations

5800 W 10th St
Ste 300
Little Rock, AR 72204
Phone (501) 661-2614

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1861402901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 WEST TENTH STREET",
            "address_2": "SUITE 300 ARKANSAS DEPT OF HEALTH",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72204",
            "telephone_number": "501-661-2614",
            "fax_number": "501-661-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 W 10TH ST",
            "address_2": "SUITE 300 ARKANSAS DEPT OF HEALTH AND HUMAN SERVICES",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722041752",
            "telephone_number": "501-661-2614",
            "fax_number": "501-661-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF ARKANSAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "HOME HEALTH ADMINISTRATOR",
        "authorized_official_telephone_number": "501-661-2540",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AR",
            "license": "AR3971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AR Dept of Health & Human Services Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.