Organization Active NPI

1St Advantage Home Care Inc

  • In Home Supportive Care Agency
  • Pocahontas, AR
National Provider Identifier
1881009983
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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 Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.