STATE OF ARKANSAS (NPI# 1306856455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306856455 |
| Entity Type | Organization |
| Organization Name | STATE OF ARKANSAS |
| Other Organization Name | WOODRUFF COUNTY HEALTH UNIT |
| Practice Address |
623 North Ninth St Woodruff County Health Unit Augusta AR 72006-0542 |
| Mailing Address |
5800 West 10th Street Suite 300 Little Rock AR 72204-1764 |
| Practice Telephone | 8703475915 |
| Practice Fax Number | 8703472153 |
| Mailing Telephone | 5016612614 |
| Mailing Fax Number | 5016612975 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2008-09-12 |
| Authorized Official Name | MARILYN EVANS (HOME HEALTH ADMINISTRATOR) |
| Authorized Official Telephone | 5016612540 |
| Authorized Official Credential | RN |
| Is Organization Subpart | Y |
| Parent Organization Name | STATE OF ARKANSAS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | AR4026 | AR | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 104312514 | 05 |
| Other Name | Type Code |
|---|---|
| Woodruff County Health Unit | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689117756 | State of Arkansas | Skilled Nursing Facility | 2401 John Ashley Drive, Building #100, North Little Rock, AR 72114 | 2016-11-22 |
| 1023236163 | State of Arkansas | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1 Center Cir, Warren, AR 71671-3033 | 2007-04-23 |
| 1477672608 | State of Arkansas | Case Management | 5800 W 10th St Ste 300, Arkansas Dhhs, Little Rock, AR 72204-1764 | 2007-03-28 |
| 1801928627 | State of Arkansas | Intermediate Care Facility, Mentally Retarded | 87 Reed Rd, Highway 116 South, Booneville, AR 72927 | 2007-03-09 |
| 1407988355 | State of Arkansas | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Prator Drive, Arkadelphia, AR 71923 | 2007-03-09 |
| 1487781027 | State of Arkansas | Intermediate Care Facility, Mentally Retarded | 14701 Highway 111, Alexander, AR 72002-1742 | 2007-02-28 |
| 1386770030 | State of Arkansas | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4701 Colony Dr, Jonesboro, AR 72404-9317 | 2007-02-26 |
| 1093840282 | State of Arkansas | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 150 Siebenmorgen Rd, Conway, AR 72032 | 2007-02-21 |
| 1417052895 | State of Arkansas | Skilled Nursing Facility | 1179 N. College Avenue, Fayetteville, AR 72703 | 2006-09-13 |
| 1912014192 | State of Arkansas | Home Health | # 22 Sherwood Plaza, Johnson County Health Unit, Clarksville, AR 72830-4337 | 2006-08-24 |
| Street Address |
623 NORTH NINTH ST WOODRUFF COUNTY HEALTH UNIT |
| City | AUGUSTA |
| State | AR |
| Zip Code | 72006-0542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861530362 | Wallace Jean Trice | Case Manager/Care Coordinator | 64 East Hwy, Augusta, AR 72006 | 2007-02-05 |
| 1275635542 | Arcare | Clinic/Center | 117 S 2nd St, Augusta, AR 72006 | 2006-09-05 |
| 1013928381 | Audra M Hamilton | Dental Hygienist | 623 N 9th Street, Augusta, AR 72006 | 2006-08-11 |
| 1013932714 | Steven F Collier Md Pa | Family Medicine | 106 South 2nd Street, Augusta, AR 72006 | 2006-07-13 |
| 1558396119 | Steve D Chason | Dentist | 216 S Second St, Augusta, AR 72006 | 2006-07-12 |
| 1790718906 | Jesse D Moore Md | Family Medicine | Highway 64 East, Augusta, AR 72006 | 2006-07-09 |
| 1053553024 | Jaime L Whitehead | Nurse Practitioner | 800 Main St, Augusta, AR 72006 | 2009-04-06 |
| 1023170305 | Katina Briscoe | Nurse Practitioner | 400 Highway 64 E, Augusta, AR 72006 | 2006-12-14 |
| 1578640785 | Doris R Wright | Pharmacy Technician | 111 Main Street, Cotton Plant, AR 72006 | 2006-11-01 |
| 1538268081 | Jaymie Frances Hopkins | Counselor | 623 N 9th Street, Augusta, AR 72006 | 2006-09-21 |
| Find all providers in zip 72006 | ||||
| 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 |
|---|---|---|---|---|
| 1417568866 | Guardian Angels Care LLC | Home Health | 601 Broad St Ste 5, Augusta, GA 30901-1467 | 2020-08-10 |
| 1730704396 | Community Access & Inclusion Foundation Inc | Home Health | 2320 Neal St, Augusta, GA 30906-3082 | 2020-06-10 |
| 1407498694 | Kennebec Home Care LLC | Home Health | 69 Sewall St, Augusta, ME 04330-6378 | 2019-10-09 |
| 1154895860 | Serenity Health Care Services | Home Health | 601 Broad St Ste 1a, Augusta, GA 30901-7400 | 2019-01-15 |
| 1386183952 | Heavenly Creations In Home Care, LLC | Home Health | 1615 Apple Valley Dr, Augusta, GA 30906-3859 | 2017-02-16 |
| 1669920005 | Tidewater Hospice Augusta LLC | Home Health | 206 Pitcarin Way, Suite B, Augusta, GA 30909-5766 | 2016-09-14 |
| 1578922498 | All In Faith Healthcare Services LLC | Home Health | 731 Hopkins St, Augusta, GA 30901-3041 | 2016-02-19 |
| 1174991038 | Augusta Home Care Services, LLC | Home Health | 1212 Augusta West Pkwy Ste 2a, Augusta, GA 30909 | 2015-09-09 |
| 1144648791 | Excel Care Christian Personal Care Services | Home Health | 203b Park Street, Augusta, KY 41002 | 2014-04-01 |
| 1538401245 | Caresouth Hha Holdings of Washington, LLC | Home Health | 231 Furys Ferry Rd, Suite 212, Augusta, GA 30907-4728 | 2013-03-20 |
| Find all providers in AUGUSTA | ||||
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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.