GRAND PRAIRIE JOB CENTER (NPI# 1174739437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174739437 |
| Entity Type | Organization |
| Organization Name | GRAND PRAIRIE JOB CENTER |
| Practice Address |
427 S Maple St Stuttgart AR 72160-4205 |
| Practice Telephone | 8706738261 |
| Practice Fax Number | 8706732851 |
| Mailing Telephone | 8706738261 |
| Mailing Fax Number | 8706732851 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2011-12-01 |
| Authorized Official Name | RANDALL L PIERCE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8706738261 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 121408715 | 05 | |
| AR | 133304767 | 05 | |
| AR | 132581786 | 05 | |
| AR | 121407724 | 05 | |
| AR | 133306774 | 05 |
| Street Address |
427 S MAPLE ST |
| City | STUTTGART |
| State | AR |
| Zip Code | 72160-4205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205325842 | Chiquita K. Holt Counseling | Counselor | 201 East 16th Street, (s.a.a.), Stuttgart, AR 72160 | 2018-05-09 |
| 1417409343 | Loura Flowers | Nursing Care | 2204 S Timber Street, Stuttgart, AR 72160 | 2016-10-26 |
| 1558730648 | Marathon Health, Inc. | Nurse Practitioner | 512 W Lennox Road, C/o Lennox Employee Health Center, Stuttgart, AR 72160 | 2015-09-18 |
| 1346679388 | Stephanie Patyk | Family Medicine | 1609 N Medical Drive, Stuttgart, AR 72160 | 2013-11-08 |
| 1386964708 | Kathryn M Morris | Nurse Practitioner | 1012 B East 22nd St, Stuttgart, AR 72160 | 2010-06-08 |
| 1457565400 | Professional Pharmacy | Pharmacy | 1515 N. Medical Drive, Stuttgart, AR 72160 | 2007-05-09 |
| 1770626244 | Terry Judson Smith | Pharmacist | 1515 N. Medical Dr., Stuttgart, AR 72160 | 2007-02-15 |
| 1497770242 | Grand Prairie Physical Therapy of Stuttgart, Inc. | Clinic/Center | 2105 S Main St, Stuttgart, AR 72160 | 2006-07-13 |
| 1083663041 | Janis W Hillman | Social Worker | 121 Commercial Drive B, Stuttgart, AR 72160 | 2006-05-08 |
| 1811973779 | George M Dunn Jr. | Optometrist | 310 West 22nd Street, Stuttgart, AR 72160 | 2005-12-21 |
| Find all providers in zip 72160 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225667082 | Hannah Nicole Montgomery | Day Training, Developmentally Disabled Services | 1525 Merrill Dr, Little Rock, AR 72211-1821 | 2020-04-03 |
| 1801447990 | Abc Children's Academy - Clarksville Site 3 | Day Training, Developmentally Disabled Services | 105 Cherokee Ln, Clarksville, AR 72830-8014 | 2019-09-20 |
| 1679127443 | Abc Children's Academy | Day Training, Developmentally Disabled Services | 308 E 11th St, Russellville, AR 72801-6156 | 2019-07-30 |
| 1780238550 | Abc Children's Academy | Day Training, Developmentally Disabled Services | 110 Library Rd, Dover, AR 72837 | 2019-07-30 |
| 1134685290 | Outcomes Incorporated | Day Training, Developmentally Disabled Services | 4501 S Thompson St, Springdale, AR 72764-7464 | 2019-02-13 |
| 1154772143 | Abc Children's Academy & Developmental Center-clarksville | Day Training, Developmentally Disabled Services | 108 Cherokee Ln, Clarksville, AR 72830-8014 | 2016-06-30 |
| 1851765143 | Kidspot Plus | Day Training, Developmentally Disabled Services | 1823 Grant Ave Ste F, Jonesboro, AR 72401-6148 | 2015-11-24 |
| 1609270057 | Abc Children's Academy & Developmental Center Dover | Day Training, Developmentally Disabled Services | 105 Library Rd, Dover, AR 72837-9005 | 2014-10-14 |
| 1790197473 | Kina Burruss | Day Training, Developmentally Disabled Services | 1501 Dogwood Trl, Malvern, AR 72104-4513 | 2014-05-29 |
| 1609298306 | Cb King Jm | Day Training, Developmentally Disabled Services | 1109 North School, Dermott, AR 71638-0000 | 2014-01-15 |
| Find all providers with the same taxonomy | ||||
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| 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.