SPRING RIVER HOME HEALTH AGENCY INC (NPI# 1265414247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265414247 |
| Entity Type | Organization |
| Organization Name | SPRING RIVER HOME HEALTH AGENCY INC |
| Practice Address |
507 N Main St Salem AR 72576-9449 |
| Mailing Address |
Po Box 829 Salem AR 72576-0829 |
| Practice Telephone | 8708952627 |
| Practice Fax Number | 8708952957 |
| Mailing Telephone | 8708952627 |
| Mailing Fax Number | 8708952957 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2020-01-08 |
| Authorized Official Name | CONNIE F BRAY (ADMINISTRATOR) |
| Authorized Official Telephone | 8708952627 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | AR3860 | AR | Agencies |
| Street Address |
507 N MAIN ST |
| City | SALEM |
| State | AR |
| Zip Code | 72576-9449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164557351 | Connie F. Bray | Nurse Anesthetist, Certified Registered | 507 N Main St, Salem, AR 72576 | 2007-02-21 |
| 1891880555 | Paul David Kauffman | Family Medicine | 507 N Main St, Salem, AR 72576-9449 | 2006-10-04 |
| 1164499935 | Jimmy G Bozeman | General Practice | 507 N Main St, Salem, AR 72576-9449 | 2006-03-01 |
| 1063489821 | Michael N Moody | General Practice | 507 N Main St, Salem, AR 72576-9449 | 2006-03-01 |
| 1376519454 | Salem Family Clinic | General Practice | 507 N Main St, Salem, AR 72576-9449 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205476322 | Spring River Therapy | Occupational Therapy Assistant | 1323 Hwy 9 N, Salem, AR 72576 | 2020-01-07 |
| 1326691213 | Tiffany Jean Reed | Occupational Therapy Assistant | 115 Watters Street, Salem, AR 72576 | 2019-07-19 |
| 1821564436 | Bokker Enterprises, Inc. | Community/Behavioral Health | 115 Turner Lane, Ste #2, Salem, AR 72576 | 2018-10-22 |
| 1346790649 | Rebekah Alexander | Social Worker | 684 Highway 62 412, Salem, AR 72576 | 2016-10-11 |
| 1407209075 | Mirenda Martin | Clinical Nurse Specialist | 507 N Main Street, Salem Family Clinic 507 N Main Street, Salem, AR 72576 | 2016-07-19 |
| 1982004362 | Alternative Oppurtunities | Community/Behavioral Health | 684 Sky Vu Shopping Center, Highway 412 West, Salem, AR 72576 | 2014-09-04 |
| 1144465485 | Jennifer Renee Innis | Physical Therapy Assistant | 679 North Main Street, Salem, AR 72576 | 2008-12-15 |
| 1922261890 | Fulton County Hospital | Clinic/Center | 673 North Main St, Salem, AR 72576 | 2008-07-09 |
| 1659573327 | Barbara Scott | Nurse Practitioner | 172 Highway 62 East, Salem, AR 72576 | 2007-06-04 |
| 1609995653 | Watch Care, LLC | Hospice Care, Community Based | 106 West Locust, Salem, AR 72576 | 2007-03-29 |
| Find all providers in zip 72576 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| 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] |
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|---|---|---|---|---|
| 1215548508 | Helen Lacsina Greer | Home Health | 248 Elma Ave Se, Salem, OR 97317-5464 | 2020-08-11 |
| 1275014235 | Pathways Healthcare, LLC | Home Health | 32 Stiles Rd Ste 103, Salem, NH 03079-2893 | 2018-08-27 |
| 1922585199 | Passionately Devoted Home Care Services | Home Health | 213 E 4th St, Salem, VA 24153-5034 | 2018-07-20 |
| 1912405648 | Ascend Home Health Care LLC | Home Health | 1367 Slater Rd, Salem, OH 44460 | 2018-01-29 |
| 1497266043 | Starforward LLC | Home Health | 14 Olive St, Salem, NJ 08079-1722 | 2017-10-22 |
| 1023528973 | T.l.c. In-home Care LLC | Home Health | 707 Madrona Ave Se, Salem, OR 97302-2672 | 2017-10-05 |
| 1477914448 | Adult Foster & Disabled Care Services | Home Health | 30 Federal Street, 302, Salem, MA 01970 | 2016-03-17 |
| 1053777516 | Care Services of Virginia Inc | Home Health | 904 Camelot Dr, Suite 12, Salem, VA 24153-5661 | 2016-01-13 |
| 1255730743 | Mcminnville Home Health LLC | Home Health | 200 Hawthorne Ave Se Ste E510, Salem, OR 97301-4994 | 2014-08-20 |
| 1750702338 | Care4me Skilled, LLC | Home Health | 2400 Southeast Blvd., Suite B, Salem, OH 44460 | 2013-12-26 |
| Find all providers in SALEM | ||||
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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.