Active NPI
Summit Hospice Providers-II, LLC
- Community Based Hospice Care Agency
- West Memphis, AR
National Provider Identifier
1942601208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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, 2014
- 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
- Richard A Williams
- Title
- Manager
- Phone
- (870) 732-3353
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.