Organization Active NPI

Eldirect in Home Senior Care

  • Case Management Agency
  • Fayetteville, AR
National Provider Identifier
1992918460
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ELDIRECT IN HOME SENIOR CARE
Practice address
2662 E Joyce Blvd
Suite 2
Fayetteville, AR 72703-4554
Phone
(479) 443-7173
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Candra Davis
Title
Secretary
Phone
(479) 443-7173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

2662 E Joyce Blvd
Suite 2
Fayetteville, AR 72703-4554

Mailing address

2662 E Joyce Blvd
Suite 2
Fayetteville, AR 72703-4554

Other names 1

  • Care Northwest, Ltd. Doing business as

National Provider Directory

National Provider Directory

Locations

2662 E Joyce Blvd
Ste 2
Fayetteville, AR 72703
Phone (479) 443-7173

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992918460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2662 E JOYCE BLVD",
            "address_2": "SUITE 2",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2662 E JOYCE BLVD",
            "address_2": "SUITE 2",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034554",
            "telephone_number": "479-443-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDIRECT IN HOME SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CANDRA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "479-443-7173"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Northwest, Ltd.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.