FORT SMITH HOME HEALTH AGENCY INC (NPI# 1285690842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285690842 |
| Entity Type | Organization |
| Organization Name | FORT SMITH HOME HEALTH AGENCY INC |
| Other Organization Name | CARE NETWORK OF FT SMITH |
| Practice Address |
220 N 12th Street Ft Smith AR 72904 |
| Mailing Address |
2401 S Plum Grove Rd Palatine IL 60067 |
| Practice Telephone | 4794947273 |
| Practice Fax Number | 4794947387 |
| Mailing Telephone | 8473035300 |
| Mailing Fax Number | 8473035376 |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2009-06-18 |
| Authorized Official Name | MS. DIANE KUMARICH (NATIONAL CONTRACTS) |
| Authorized Official Telephone | 8473035300 |
| Authorized Official Credential | RN, MS, MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251F00000X | Home Infusion | Agencies | ||
| N | 251J00000X | Nursing Care | Agencies | ||
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| Y | 251E00000X | Home Health | AR4235 | AR | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 137746514 | 05 | |
| AR | 138510757 | 05 | |
| AR | 137748732 | 05 | |
| AR | 138500750 | 05 | |
| AR | 141491765 | 05 | |
| AR | 138509752 | 05 | |
| AR | 137747738 | 05 | |
| AR | 139075742 | 05 |
| Other Name | Type Code |
|---|---|
| Care Network of Ft Smith | Doing Business As Name - Organization |
| Street Address |
220 N 12TH STREET |
| City | FT SMITH |
| State | AR |
| Zip Code | 72904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871072751 | Baptist Health Services | Family Medicine | 4700 Kelley Hwy Ste A, Fort Smith, AR 72904 | 2018-08-10 |
| 1649799081 | Timothy Morris | Case Manager/Care Coordinator | 5900 Kinkead Ave 477, Fort Smith, AR 72904 | 2017-09-18 |
| 1326564980 | Lyndy Luree Raley | Speech-Language Pathologist | 3300 Harris Ave., Fort Smith, AR 72904 | 2017-08-16 |
| 1104175280 | Chelsea Beth Phillips Claybrook | Physical Therapy Assistant | 1801 South 74th St., Fort Smith, AR 72904 | 2012-09-05 |
| 1437408762 | Misty Denise Flemming | Physical Therapy Assistant | 4401 Yorkshire Dr., Fort Smith, AR 72904 | 2012-08-31 |
| 1831473321 | Rebecca Lynn Reif | Speech-Language Pathologist | 5100 Kelley Highway, Fort Smith, AR 72904 | 2011-10-03 |
| 1760542443 | Neill Hamilton Treece | Dentist | 1528 No 39th, Fort Smith, AR 72904 | 2006-12-11 |
| 1659850329 | Baptist Health Services | Internal Medicine | 4700 Kelley Hwy Ste B, Fort Smith, AR 72904 | 2018-08-13 |
| 1437410545 | Susan Lynn Mcdaniel | Nurse Practitioner | 4900 Kelley Hwy, Fort Smith, AR 72904 | 2012-06-05 |
| 1316129711 | Denise Valentin | Nurse Practitioner | 4020 Newlon Rd, Fort Smith, AR 72904-2111 | 2007-11-28 |
| Find all providers in zip 72904 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528670130 | Home Health Care Agency of Arkansas, LLC | Home Health | 1200 John Barrow Road Suite #111, Little Rock, AR 72205-6528 | 2020-08-17 |
| 1316557127 | Voices of Healthcare | Home Health | 3700 S Caraway Rd Apt K07, Jonesboro, AR 72404-9537 | 2020-08-06 |
| 1093325334 | Clararose Home Care | Home Health | 802 Parrish St, Jacksonville, AR 72076-2720 | 2020-08-02 |
| 1447876024 | Jabez Community Resource Center | Home Health | 2910 Dickson St, West Memphis, AR 72301-3638 | 2020-06-19 |
| 1912521295 | Thrive Pediatric Nursing Inc | Home Health | 808 Reservoir Rd Ste A, Little Rock, AR 72227-5729 | 2020-06-03 |
| 1124651153 | Lareco Walker Sr. | Home Health | 1907 Hwy 5 N Apt 1010, Benton, AR 72019-6733 | 2020-02-18 |
| 1518500495 | Quality Senior Care, Inc. | Home Health | 17724 I 30 Ste 5, Benton, AR 72019-2961 | 2019-10-23 |
| 1659912376 | Diamond Personal Care, Ll | Home Health | 25 Macarthur Dr, Conway, AR 72032-4510 | 2019-10-03 |
| 1427607837 | Leyia Staffing Agency LLC | Home Health | 309 N 6th St Ste 3, West Memphis, AR 72301-3294 | 2019-09-09 |
| 1497317820 | 1 To 1 Home Care Services | Home Health | 1200 Westpark Dr Ste 202, Little Rock, AR 72204-2487 | 2019-07-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on FORT SMITH HOME HEALTH AGENCY INC.
| 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.