Organization Active NPI

Summit Hospice Providers-II, LLC

  • Community Based Hospice Care Agency
  • West Memphis, AR
National Provider Identifier
1942601208
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SUMMIT HOSPICE PROVIDERS-II, LLC
Practice address
308 S Rhodes St
West Memphis, AR 72301-4215
Phone
(870) 732-3353
NPI assigned
Sep 5, 2014
Last updated
Sep 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2014

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

Authorized official

Name
Richard A Williams
Title
Manager
Phone
(870) 732-3353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

308 S Rhodes St
West Memphis, AR 72301-4215

Mailing address

10710 Otter Creek East Blvd
Suite 400
Mabelvale, AR 72103-5808
Phone (501) 455-0010

National Provider Directory

National Provider Directory

Locations

10710 Otter Creek East Blvd
Ste 400
Mabelvale, AR 72103

NPI Registry JSON

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409875200000",
    "number": "1942601208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10710 OTTER CREEK EAST BLVD",
            "address_2": "SUITE 400",
            "city": "MABELVALE",
            "state": "AR",
            "postal_code": "721035808",
            "telephone_number": "501-455-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 S RHODES ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723014215",
            "telephone_number": "870-732-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT HOSPICE PROVIDERS-II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-05",
        "last_updated": "2014-09-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "870-732-3353"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 5, 2014; 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.