NPIMap

Organization Active NPI

State of Arkansas

  • Community Based Hospice Care Agency
  • Batesville, AR
National Provider Identifier
1982633046
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
AR3812 Issued in AR
Legal business name
STATE OF ARKANSAS
Practice address
40 Allen Chapel Rd
Batesville, AR 72501-9787
Phone
(501) 661-2698
Fax
(501) 280-4626
NPI assigned
Jul 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Authorized official

Name
Ms. Gayla Lanum, R.N.
Title
Hospice Director
Phone
(501) 661-2698

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X AR3812 AR Primary

Addresses

Primary practice location

40 Allen Chapel Rd
Batesville, AR 72501-9787

Mailing address

5800 West 10TH St
Suite 300
Little Rock, AR 72204-1764
Phone (501) 661-2698

Other identifiers 2

IdentifierTypeStateIssuer
AR3812OtherARAR STATE HOSPICE LICENSE
123489747MedicaidAR

Other names 1

  • Arkansas Department of Health Hospice 10 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Department of Health and Human Services35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1982633046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 WEST 10TH ST",
            "address_2": "SUITE 300",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722041764",
            "telephone_number": "501-661-2698",
            "fax_number": "501-280-4626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 ALLEN CHAPEL RD",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725019787",
            "telephone_number": "501-661-2698",
            "fax_number": "501-280-4626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF ARKANSAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "LANUM",
        "authorized_official_first_name": "GAYLA",
        "authorized_official_title_or_position": "HOSPICE DIRECTOR",
        "authorized_official_telephone_number": "501-661-2698",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AR",
            "license": "AR3812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR STATE HOSPICE LICENSE",
            "identifier": "AR3812",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123489747",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arkansas Department of Health Hospice 10",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Batesville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.