Quapaw House

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

QUAPAW HOUSE

Doing business as

Quapaw House

Practice address

615 W Grand Ave
Hot Springs, AR 71901-3927

Phone

(501) 609-0400

NPI assigned

Dec 5, 2019

Organization subpart

Yes

Parent organization

QUAPAW HOUSE, INC.As reported in NPPES

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

Authorized official

Name

Mrs. Angela Renee MoserNPI 1487120986

Title

Billing/ Claims Spec.

Phone

(501) 204-8186

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Quapaw House Doing business as

Part of

Quapaw House

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Quapaw House, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hot Springs, AR
  • NPI 1548374499
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Moser, CIS

  • Counselor
  • Batesville, AR
  • NPI 1487120986
  NPD Authorized official

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579478400000",
    "number": "1902443229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W GRAND AVE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719013931",
            "telephone_number": "501-623-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W GRAND AVE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719013927",
            "telephone_number": "501-609-0400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3302 E Moore Ave",
            "address_purpose": "LOCATION",
            "city": "Searcy",
            "state": "AR",
            "postal_code": "721435099",
            "country_code": "US",
            "telephone_number": "501-268-4181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4323 Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "AR",
            "postal_code": "718541515",
            "country_code": "US",
            "telephone_number": "870-773-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "QUAPAW HOUSE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUAPAW HOUSE, INC.",
        "enumeration_date": "2019-12-05",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A",
        "authorized_official_last_name": "MOSER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "BILLING/ CLAIMS SPEC.",
        "authorized_official_telephone_number": "501-204-8186",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5G217",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quapaw House",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Quapaw House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacob Michael Purifoy, DDS
• Kayla Grace Purifoy
• Melissa Ann Qualls
• Melissa Catherine Qualls
• Quapaw Care and Rehabilitation Center LLC
• Quapaw House, Inc.
• Quapaw MD PLLC
• Jennifer Rader, CRNA
• Solomon Ragotero Jr., M.D.
• Stephanie Ann Ragsdale, ANP

• Substance Use Disorder Rehabilitation Clinic/Center in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; 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.