Active NPI
1St Advantage Home Care Inc
- In Home Supportive Care Agency
- Pocahontas, AR
National Provider Identifier
1881009983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- 1ST ADVANTAGE HOME CARE INC
- Practice address
- 2103C Old County Rd
Pocahontas, AR 72455-4137 - Phone
- (870) 609-1930
- Fax
- (870) 609-1936
- NPI assigned
- Jun 26, 2014
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mrs. Jennifer Nicole Crismon, RN
- Title
- Owner
- Phone
- (870) 378-0529
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2103C Old County Rd
Pocahontas, AR 72455-4137
Mailing address
2103C Old County Rd
Pocahontas, AR 72455-4137
Phone (870) 609-1930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 4, 2015.
{
"created_epoch": "1403740800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1433376000000",
"number": "1881009983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2103C OLD COUNTY RD",
"city": "POCAHONTAS",
"state": "AR",
"postal_code": "724554137",
"telephone_number": "870-609-1930",
"fax_number": "870-609-1936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2103C OLD COUNTY RD",
"city": "POCAHONTAS",
"state": "AR",
"postal_code": "724554137",
"telephone_number": "870-609-1930",
"fax_number": "870-609-1936"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "1ST ADVANTAGE HOME CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-26",
"last_updated": "2015-06-04",
"status": "A",
"authorized_official_last_name": "CRISMON",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "870-378-0529",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pocahontas, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.