White County Medical Center

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

AR4330 Issued in AR

Legal business name

WHITE COUNTY MEDICAL CENTER

Doing business as

White County Medical Center - South Home Health

Practice address

3109 E Moore Ave
Searcy, AR 72143-4847

Phone

(501) 380-4700

Fax

(501) 380-4741

NPI assigned

Jul 21, 2006

Last updated

Sep 14, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

WHITE COUNTY MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Mr. Billy J Roberts

Title

Assistant Vice President, Fiscal SE

Phone

(501) 380-4655

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• White County Medical Center - South Home Health Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Part of

White County Medical Ce

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• White County Medical Center

  dba Unity Health Newport Pediatrics Clinic

  • Pediatrics Physician
  • Newport, AR
  • NPI 1588324164

  Member Of

  NPD member

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• LHCG Cxxxxi, LLC

  dba Unity Health HomeCare

  • Home Health Agency
  • Searcy, AR
  • NPI 1134693294

  Sold to, 2019-02-01

  CMS change of ownership

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1992725774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 E MOORE AVE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434847",
            "telephone_number": "501-380-4700",
            "fax_number": "501-380-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 E MOORE AVE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434847",
            "telephone_number": "501-380-4700",
            "fax_number": "501-380-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE COUNTY MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WHITE COUNTY MEDICAL CENTER",
        "enumeration_date": "2006-07-21",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "BILLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ASSISTANT VICE PRESIDENT, FISCAL SE",
        "authorized_official_telephone_number": "501-380-4655",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AR",
            "license": "AR4330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160028514",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARK BCBS PROVIDER NUMBER",
            "identifier": "17035",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White County Medical Center - South Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• White County Medical Center (Unity Health Radiology Group)
• White County Medical Center (Orthopaedic & Spine Center Physical Therapy)
• White County Medical Center (White County Hospitalists)
• White County Medical Center (Unity Health Searcy Medical Center)
• White County Medical Center (Unity Health - After Hours Clinic)
• White County Medical Center - North Home Care
• White County Urgent Care
• Bradley A White, M.D.
• Carson Ellen White, COTA/L
• James David White

• Home Health Agency in Searcy, AR
• Providers in Searcy, AR by specialty
• Home Health Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.