Organization Active NPI

Development Resource Service LLC

  • Personal Care Attendant
  • West Memphis, AR
National Provider Identifier
1922671577
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
DEVELOPMENT RESOURCE SERVICE LLC
Practice address
525 N 16TH St
West Memphis, AR 72301-3319
Phone
(870) 912-1206
NPI assigned
Jul 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Authorized official

Name
Shinequa WhiteNPI 1851969281
Title
Owner
Phone
(901) 265-2005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

525 N 16TH St
West Memphis, AR 72301-3319

Mailing address

525 N 16TH St
West Memphis, AR 72301-3319
Phone (870) 912-1206

Other identifiers 1

IdentifierTypeStateIssuer
AR5747MedicaidAR

Other names 1

  • Development Resource Service LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1922671577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 N 16TH ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723013319",
            "telephone_number": "870-912-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N 16TH ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723013319",
            "telephone_number": "870-912-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENT RESOURCE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "SHINEQUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-265-2005"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AR5747",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Development Resource Service LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in West Memphis, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.