Organization Active NPI

Three Rivers Senior Services, Inc.

  • Home Health Agency
  • Mountain Home, AR
National Provider Identifier
1972026573
Registry record updated Jul 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
AR5065 Issued in AR
Legal business name
THREE RIVERS SENIOR SERVICES, INC.
Practice address
420 S Main St
Mountain Home, AR 72653-3852
Phone
(870) 425-0700
NPI assigned
Jul 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2017

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

Authorized official

Name
Mary Elaine Morris
Title
Owner/Secretary
Phone
(870) 425-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X AR5065 AR Primary

Addresses

Primary practice location

420 S Main St
Mountain Home, AR 72653-3852

Mailing address

PO Box 1974
Mountain Home, AR 72654-1974

Other identifiers 8

IdentifierTypeStateIssuer
204853757MedicaidAR
219308765MedicaidAR
217230732MedicaidAR
219309765MedicaidAR
217282757MedicaidAR
204806732MedicaidAR
204854797MedicaidAR
217200797MedicaidAR

National Provider Directory

National Provider Directory

Locations

420 S Main St
Mountain Home, AR 72653
Phone (870) 425-0700

NPI Registry JSON

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500940800000",
    "number": "1972026573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1974",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726541974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S MAIN ST",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533852",
            "telephone_number": "870-425-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS SENIOR SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2017-07-25",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER/SECRETARY",
        "authorized_official_telephone_number": "870-425-0700"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AR",
            "license": "AR5065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204853757",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "219308765",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217230732",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "219309765",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217282757",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204806732",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204854797",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217200797",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2017; 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.