The Ardent-Maverick Group, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

THE ARDENT-MAVERICK GROUP, INC.

Doing business as

Lonnie's Dream, In-Home Care

Practice address

1610 E Kiehl Ave Ste B
Sherwood, AR 72120-3762

Phone

(501) 392-6639

NPI assigned

Jan 21, 2019

Organization subpart

No

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

Authorized official

Name

Edward Watson

Title

Administrator

Phone

(501) 392-6639

Specialties & licenses 1

Addresses

Other names 1

• Lonnie's Dream, In-Home Care Doing business as

Locations

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

{
    "created_epoch": "1548028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548028800000",
    "number": "1962976134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 E KIEHL AVE STE B",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721203762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 E KIEHL AVE STE B",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721203762",
            "telephone_number": "501-392-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARDENT-MAVERICK GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-21",
        "last_updated": "2019-01-21",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "501-392-6639"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lonnie's Dream, In-Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Sherwood, AR
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; 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.