Organization Active NPI

Central Arkansas Area Agency on Aging, Inc

Doing business as CareLink

  • Home Health Agency
  • North Little Rock, AR
National Provider Identifier
1891779930
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
AR3295 Issued in AR
Legal business name
CENTRAL ARKANSAS AREA AGENCY ON AGING, INC
Doing business as
CareLink
Practice address
706 W 4TH St
North Little Rock, AR 72114-5362
Phone
(501) 372-5300
Fax
(501) 688-7443
NPI assigned
Dec 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Authorized official

Name
Mr. Luke Mattingly
Title
Ceo/President
Phone
(501) 688-7483

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X AR3295 AR
Home Health Agency 251E00000X AR3295 AR Primary
Home Delivered Meals 332U00000X AR3295 AR
Non-emergency Medical Transport (VAN) 343900000X AR3295 AR

Addresses

Primary practice location

706 W 4TH St
North Little Rock, AR 72114-5362

Mailing address

PO Box 5988
700 Riverfront Drive
North Little Rock, AR 72119-5988
Phone (501) 688-7440

Other identifiers 5

IdentifierTypeStateIssuer
120151757MedicaidAR
208117797MedicaidAR
120611765MedicaidAR
120150753MedicaidAR
104703732MedicaidAR

Other names 1

  • CareLink Doing business as

National Provider Directory

National Provider Directory

Locations

706 W 4th St
North Little Rock, AR 72114
Phone (501) 372-5300

NPI Registry JSON

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1891779930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5988",
            "address_2": "700 RIVERFRONT DRIVE",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721195988",
            "telephone_number": "501-688-7440",
            "fax_number": "501-688-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 W 4TH ST",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721145362",
            "telephone_number": "501-372-5300",
            "fax_number": "501-688-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ARKANSAS AREA AGENCY ON AGING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-02",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "MATTINGLY",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "501-688-7483",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AR",
            "license": "AR3295",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AR",
            "license": "AR3295",
            "primary": true
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "AR",
            "license": "AR3295",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AR",
            "license": "AR3295",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120151757",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208117797",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120611765",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120150753",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104703732",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareLink",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CareLink",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.