STALEY HOUSE LLC


Address: 804 Columbia, Helena, AR 72342-2816
Phone: 7704909973

STALEY HOUSE LLC (NPI# 1194349241) 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) 1194349241
Entity Type Organization
Organization Name STALEY HOUSE LLC
Practice Address 804 Columbia
Helena
AR 72342-2816
Practice Telephone 7704909973
Mailing Telephone 7704909973
Enumeration Date 2020-06-04
Last Update Date 2020-06-04
Authorized Official Name MISTI STALEY (CEO)
Authorized Official Telephone 7704909973
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332BP3500X Durable Medical Equipment & Medical Supplies
Specialization: Parenteral & Enteral Nutrition
Suppliers

Office Location

Street Address 804 COLUMBIA
City HELENA
State AR
Zip Code 72342-2816

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1841604295 Michael Thomas Case Manager/Care Coordinator 801 Newman Dr, Helena, AR 72342 2014-06-13
1952745846 Demetrius Lashay Austin Case Manager/Care Coordinator 211 Missouri, Helena, AR 72342 2013-04-22
1497903066 Pam Pippenger Speech-Language Pathologist 1000 Campus Drive, Helena, AR 72342 2008-09-08
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Taxonomy Information

Taxonomy Code 332BP3500X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies
Specialization Parenteral & Enteral Nutrition

Taxonomy Definition

Definition to come...

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1922326586 Boone Home Healthcare, Inc. Durable Medical Equipment & Medical Supplies 803-a Highway 71 North, Mena, AR 71953 2010-05-06
1386831238 Finnegans Inc. Durable Medical Equipment & Medical Supplies 6805 W 12th St Ste F, Little Rock, AR 72204-2465 2007-09-25
1023202801 Absolute Nutrition LLC Durable Medical Equipment & Medical Supplies 1209 Commerce Dr Ste 101, Mountain Home, AR 72653-2601 2007-09-05
1912107848 Homelink Home Health Care Durable Medical Equipment & Medical Supplies 309 Southridge Blvd., Suite F, Heber Springs, AR 72543-8877 2007-07-19
1194837229 Med South Medical Inc Durable Medical Equipment & Medical Supplies 6415 Witt Ln Ste B, North Little Rock, AR 72118-2475 2006-08-31
1134145964 Advanced Home Iv Services Durable Medical Equipment & Medical Supplies 1235 Sturgis Rd Ste 7, Conway, AR 72034-9688 2006-07-14
1275573594 Capstone Health Grp LLC Durable Medical Equipment & Medical Supplies 300 Olive St Ste 505, Texarkana, AR 71854 2006-06-07
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Competitor

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City HELENA
Zip Code 72342

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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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