Active NPI
Development Resource Service LLC
- Personal Care Attendant
- West Memphis, AR
National Provider Identifier
1922671577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shinequa White
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AR5747 | Medicaid | AR |
Other names 1
- Development Resource Service LLC
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Personal Care Attendant
- West Memphis, AR
- NPI 1851969281
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.