COMPLETE HEALTH WITH PACE (NPI# 1184086175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184086175 |
| Entity Type | Organization |
| Organization Name | COMPLETE HEALTH WITH PACE |
| Practice Address |
2100 Pike Ave North Little Rock AR 72114-2604 |
| Practice Telephone | 5013768852 |
| Practice Fax Number | 5019782801 |
| Mailing Telephone | 5013768852 |
| Mailing Fax Number | 5019782801 |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2016-03-30 |
| Authorized Official Name | ROBERT ROBERTS (VP AND CFO OF BAPTIST HEALTH) |
| Authorized Official Telephone | 5012021542 |
| Is Organization Subpart | Y |
| Parent Organization Name | BAPTIST HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251T00000X | PACE Provider Organization | H6342 | AR | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 16PACE1 | 05 |
| Street Address |
2100 PIKE AVE |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72114-2604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013321942 | Jessica Wilkinson | Social Worker | 2100 Pike Ave, North Little Rock, AR 72114-2604 | 2014-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316432966 | Mid State Counseling and Recovery Service | Clinic/Center | 1920 Main St Ste 229, North Little Rock, AR 72114 | 2018-06-26 |
| 1053826842 | Kelli Lauron Johnson | Nurse Practitioner | 2800 North Willow Street, North Little Rock, AR 72114 | 2017-12-03 |
| 1689117756 | State of Arkansas | Skilled Nursing Facility | 2401 John Ashley Drive, Building #100, North Little Rock, AR 72114 | 2016-11-22 |
| 1366787459 | J Andrew Mccullough | Counselor | 628 W Broadway St Ste 300, North Little Rock, AR 72114 | 2012-11-30 |
| 1598071490 | Roger Elliott Hicks IIi | Counselor | 2200 Fort Roots Dr # 3d, North Little Rock, AR 72114 | 2010-08-30 |
| 1740594456 | Tuyet Thi Van | Dentist | 520 W. Pershing Blvd., North Little Rock, AR 72114 | 2010-08-05 |
| 1467764183 | Jennifer Leigh Nash | Behavioral Analyst | 628 W Broadway St Ste 100, North Little Rock, AR 72114 | 2010-07-10 |
| 1336398544 | Tina A Davie | Registered Nurse | 2200 Foot Roots Drive, Little Rock, AR 72114 | 2008-09-11 |
| 1316125313 | Centers for Youth & Families | Community/Behavioral Health | 200 W. 20th, North Little Rock, AR 72114 | 2008-02-01 |
| 1881878064 | Marie A Graham | Nurse Practitioner | 636 West Broadway St, No Little Rock, AR 72114 | 2007-12-24 |
| Find all providers in zip 72114 | ||||
| Taxonomy Code | 251T00000X |
| Grouping | Agencies |
| Classification | PACE Provider Organization |
| A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. |
| Notes: Source: Centers for Medicare and Medicaid, PACE Fact Sheet http://www.cms.hhs.gov/PACE/Downloads/PACEFactSheet.pdf [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079315 | Happy Homecare | PACE Provider Organization | 46 Dominar Way, Hot Springs Village, AR 71909-7336 | 2020-10-06 |
| 1932668142 | Faithful Home Care, LLC | PACE Provider Organization | 622 Denton, Benton, AR 72015-3424 | 2019-03-18 |
| 1366929846 | Washington Regional Medicorp, Inc. | PACE Provider Organization | 813 Founders Park Dr E Ste 107, Springdale, AR 72762-6314 | 2018-07-26 |
| 1477729069 | Total Life Healthcare, Inc. | PACE Provider Organization | 700 E Washington Ave, Jonesboro, AR 72401-3071 | 2008-05-02 |
| City | NORTH LITTLE ROCK |
| Zip Code | 72114 |
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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.