Organization Active NPI

MJ Eldercare of Arkansas

  • Home Health Agency
  • Lonsdale, AR
National Provider Identifier
1902315724
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
AR5342 Issued in AR
Legal business name
MJ ELDERCARE OF ARKANSAS
Doing business as
Home Instead Senior Care
Practice address
26629 Highway 5
Lonsdale, AR 72087
Phone
(501) 625-3133
Fax
(501) 625-3178
NPI assigned
Sep 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Jennifer Bassett
Title
Owner/GM
Phone
(501) 625-3133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X AR5342 AR Primary

Addresses

Primary practice location

26629 Highway 5
Lonsdale, AR 72087

Mailing address

PO Box 670
Hot Springs, AR 71902-0670
Phone (501) 625-3133

Other practice location 1

26629 Ar-5
Londsdale, AR 72087
Phone (501) 625-3133

Other identifiers 1

IdentifierTypeStateIssuer
AR5342MedicaidAR

Other names 1

  • Home Instead Senior Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1902315724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719020670",
            "telephone_number": "501-625-3133",
            "fax_number": "501-625-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26629 HIGHWAY 5",
            "city": "LONSDALE",
            "state": "AR",
            "postal_code": "72087",
            "telephone_number": "501-625-3133",
            "fax_number": "501-625-3178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26629 AR-5",
            "address_purpose": "LOCATION",
            "city": "Londsdale",
            "state": "AR",
            "postal_code": "72087",
            "country_code": "US",
            "telephone_number": "501-625-3133",
            "fax_number": "501-625-3178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MJ ELDERCARE OF ARKANSAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-25",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "BASSETT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/GM",
        "authorized_official_telephone_number": "501-625-3133"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AR",
            "license": "AR5342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AR5342",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lonsdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.