STATE OF ARKANSAS


Address: 740 California Ave Sw, Ouachita County Health Unit, Camden, AR 71701-4606
Phone: 8708365033

STATE OF ARKANSAS (NPI# 1023028164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023028164
Entity Type Organization
Organization Name STATE OF ARKANSAS
Other Organization Name OUACHITA COUNTY HEALTH UNIT
Practice Address 740 California Ave Sw
Ouachita County Health Unit
Camden
AR 71701-4606
Mailing Address 5800 West 10th Street
Suite 300
Little Rock
AR 72204-1764
Practice Telephone 8708365033
Practice Fax Number 8708371488
Mailing Telephone 5016612614
Mailing Fax Number 5016612975
Enumeration Date 2006-08-09
Last Update Date 2008-09-11
Authorized Official Name MARILYN EVANS (HOME HEALTH ADMINISTRATOR)
Authorized Official Telephone 5016612540
Authorized Official Credential RN
Is Organization Subpart Y
Parent Organization Name STATE OF ARKANSAS

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health AR4010 AR Agencies

Other Provider Identifier

State Issuer Identifier Type Code
AR 104312514 05

Other Provider/Organization Names

Other Name Type Code
Ouachita County Health Unit Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1689117756 State of Arkansas Skilled Nursing Facility 2401 John Ashley Drive, Building #100, North Little Rock, AR 72114 2016-11-22
1023236163 State of Arkansas Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1 Center Cir, Warren, AR 71671-3033 2007-04-23
1477672608 State of Arkansas Case Management 5800 W 10th St Ste 300, Arkansas Dhhs, Little Rock, AR 72204-1764 2007-03-28
1801928627 State of Arkansas Intermediate Care Facility, Mentally Retarded 87 Reed Rd, Highway 116 South, Booneville, AR 72927 2007-03-09
1407988355 State of Arkansas Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1 Prator Drive, Arkadelphia, AR 71923 2007-03-09
1487781027 State of Arkansas Intermediate Care Facility, Mentally Retarded 14701 Highway 111, Alexander, AR 72002-1742 2007-02-28
1386770030 State of Arkansas Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4701 Colony Dr, Jonesboro, AR 72404-9317 2007-02-26
1093840282 State of Arkansas Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 150 Siebenmorgen Rd, Conway, AR 72032 2007-02-21
1417052895 State of Arkansas Skilled Nursing Facility 1179 N. College Avenue, Fayetteville, AR 72703 2006-09-13
1912014192 State of Arkansas Home Health # 22 Sherwood Plaza, Johnson County Health Unit, Clarksville, AR 72830-4337 2006-08-24

Office Location

Street Address 740 CALIFORNIA AVE SW
OUACHITA COUNTY HEALTH UNIT
City CAMDEN
State AR
Zip Code 71701-4606

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104456854 Teresa Mccann Pharmacist Brookshire's Pharmacy #85, 1345 Hwy 4 Spur Sw, Camden, AR 71701 2020-01-22
1366938870 American Oncology Partners, P.a. Internal Medicine 115 Fairview Rd Sw, Camden, AR 71701 2018-07-09
1609236454 Laquisha Kelley Case Manager/Care Coordinator 211 South Jackson Street, Camden, AR 71701 2016-03-07
1649654435 Gerald Stinnett Occupational Therapy Assistant 431 Ouachita 51, Camden, AR 71701 2015-07-13
1902105232 Joannie Phelps Counselor 301a Washington, Camden, AR 71701 2011-03-25
1053540732 Judy Prince Counselor 115 Jefferson Sw, Camden, AR 71701 2009-07-02
1861641532 Candace Bowen Occupational Therapy Assistant 1320 Maul North West Road, Camden, AR 71701 2008-09-17
1073739587 Harmony Grove School District Local Education Agency (LEA) 401 Oua Rd 88, Camden, AR 71701 2007-04-17
1215055876 Angela Mashel Rich Counselor 1269 California Sw, Camden, AR 71701 2007-03-26
1104954791 Lisa H Stevens Speech-Language Pathologist 400 Maul Road, Camden, AR 71701 2007-03-02
Find all providers in zip 71701

Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285266536 Stoney Mae Empowerment House Nj Home Health 401 Market St Unit 3054, Camden, NJ 08101-8092 2020-02-05
1306497482 Grace & Mercy Home Healthcare, LLC Home Health 2039 W Dekalb St Ste 2, Camden, SC 29020-2043 2019-09-20
1336652510 Greater Love Home Health Care LLC Home Health 2 Riverside Dr Ste 503, Camden, NJ 08103-1019 2017-11-10
1992226849 Care Finders Total Care LLC Home Health 2600 Mount Ephraim Ave Ste 415, Camden, NJ 08104-3236 2017-06-30
1801276761 Cramer Hill Home Care Inc. Home Health 3213-15 River Rd., Unit D, Camden, NJ 08105 2015-06-05
1477951903 Maximum Home Care Home Health 3007 Congress Rd, Camden, NJ 08104-3605 2014-12-16
1407033517 Mercy Home Care, Inc Home Health 800 Cooper St, Suite 525, Camden, NJ 08102-1155 2008-01-31
1003942004 Loving Care Agency, Inc. Home Health 2600 Mount Ephraim Ave, Suite 415, Camden, NJ 08104-3236 2007-02-26
1104907021 Albemarle Regional Health Services Home Health 160 Us 158e, Bldg B, Camden, NC 27921 2006-10-18
1407814700 Home Remedies Adult Care Services Home Health 2030a Lyttleton St, Camden, SC 29020-2412 2006-05-03
Find all providers in CAMDEN

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City CAMDEN
Zip Code 71701

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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