NPIMap

Organization Active NPI

Elder House Adult Day Care Center

  • In Home Supportive Care Agency
  • El Dorado, AR
National Provider Identifier
1972397719
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ELDER HOUSE ADULT DAY CARE CENTER
Practice address
333 Maple Hill St
El Dorado, AR 71730-3280
Phone
(870) 875-1711
Fax
(870) 875-1711
NPI assigned
Apr 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Authorized official

Name
Paula La Quita Rainey
Title
Owner
Phone
(870) 875-1711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

333 Maple Hill St
El Dorado, AR 71730-3280

Mailing address

615 W Cedar St
El Dorado, AR 71730-5766
Phone (870) 875-1711

Other names 1

  • Complete Home Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Complete Home Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

333 Maple Hill St
El Dorado, AR 71730
Phone (870) 875-1711

615 W Cedar St
El Dorado, AR 71730
Phone (870) 864-9316

NPI Registry JSON

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1972397719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W CEDAR ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717305766",
            "telephone_number": "870-875-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 MAPLE HILL ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717303280",
            "telephone_number": "870-875-1711",
            "fax_number": "870-875-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDER HOUSE ADULT DAY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "RAINEY",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "LA QUITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-875-1711"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Dorado, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.