HOME CARE PEDIATRIC THERAPY PA (NPI# 1316037500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316037500 |
| Entity Type | Organization |
| Organization Name | HOME CARE PEDIATRIC THERAPY PA |
| Practice Address |
2315 Honeysuckle Ln Russellville AR 72801-5526 |
| Practice Telephone | 4798586144 |
| Practice Fax Number | 4798586144 |
| Mailing Telephone | 4798586144 |
| Mailing Fax Number | 4798586144 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROBERT EDWARD VOGLER (SECRETARY) |
| Authorized Official Telephone | 4798586144 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | ABCBS PROVIDER NUMBER | 5C377 | 01 |
| Street Address |
2315 HONEYSUCKLE LN |
| City | RUSSELLVILLE |
| State | AR |
| Zip Code | 72801-5526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053538587 | Alicia M Bost | Occupational Therapist | 2315 Honeysuckle Ln, Russellville, AR 72801-5526 | 2007-04-19 |
| 1497971428 | Adrienne Shelton | Occupational Therapist | 2315 Honeysuckle Ln, Russellville, AR 72801-5526 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002782 | Randy Paul Stayton | Pharmacist | 2109 W Main, Russellville, AR 72801 | 2020-10-30 |
| 1871134825 | Just Spreading Love Senior Care LLC | Student in an Organized Health Care Education/Training Program | 1411 N. Pittsburg Avenue, Russellville, AR 72801 | 2019-10-01 |
| 1124670369 | Richard L Morgan Dds Pa | Dentist | 1700 West C Place, Russellville, AR 72801 | 2019-07-09 |
| 1407342371 | Andrew James Hickman | Optometrist | 2711 E Parkway Drive, Russellville, AR 72801 | 2018-07-03 |
| 1154859833 | Felicia Head | Speech-Language Pathologist | 220 W 10th St., Russellville, AR 72801 | 2017-05-25 |
| 1295281293 | Arkansas Liver and Gastroenterology, P.a. | Internal Medicine | 1605 West Main Street, Russellville, AR 72801 | 2016-08-30 |
| 1467802405 | Kah Development 4, LLC | Hospice Care, Community Based | 3801 W Main St Ste A, Russellville, AR 72801 | 2016-06-21 |
| 1871904839 | Sleep Partners, LLC | Clinic/Center | 1310 West B Street, Suite A, Russellville, AR 72801 | 2014-05-13 |
| 1942647029 | Rpi Sleep Complete LLC | Clinic/Center | 1310 West Main Street, Suite 201, Russellville, AR 72801 | 2013-05-29 |
| 1184967291 | Amedco Arkansas Pllc | Optometrist | 302 N. Phoenix Ave., Clark Eye Clinic, Russellville, AR 72801 | 2013-03-27 |
| Find all providers in zip 72801 | ||||
| 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 |
|---|---|---|---|---|
| 1972945319 | Trinity River Valley Home Health, LLC | Home Health | 1708 W C Pl, Russellville, AR 72801-2773 | 2013-07-26 |
| 1528224581 | Amcare Senior Life Partners, Inc | Home Health | 220 E 4th St, Russellville, AR 72801-5134 | 2008-07-30 |
| 1225049828 | Southern Rural Health Care Consortium | Home Health | 508 Saint Clair St Se, Russellville, AL 35653-2720 | 2006-08-10 |
| 1184634230 | State of Arkansas | Home Health | 1509 East Main Street Suite 6, Pope County Health Unit, Russellville, AR 72802-9405 | 2006-08-09 |
| 1093213076 | Kentucky In-home Partner-ii, LLC | Home Health | 1527 Nashville St, Russellville, KY 42276-8851 | 2018-01-25 |
| 1912357948 | Kah Development 4, LLC | Home Health | 1509 E Main St, Suite 6, Russellville, AR 72801-5326 | 2016-06-21 |
| 1184865180 | In Focus Elder Care Inc | Home Health | 381 Irvin Rd, Russellville, AR 72802-2074 | 2009-03-20 |
| 1316084684 | Russellville Hospital Inc. | Home Health | 15155 Highway 43, Russellville, AL 35653-1975 | 2007-01-30 |
| 1235149212 | Care Iv, Inc. | Home Health | 1008 W Main St, Russellville, AR 72801-3518 | 2006-08-09 |
| 1154354595 | Lifeline Health Care of Kentucky #3, Inc. | Home Health | 60 Shelton Ln, Russellville, KY 42276-7203 | 2006-07-09 |
| Find all providers in RUSSELLVILLE | ||||
| City | RUSSELLVILLE |
| Zip Code | 72801 |
Please comment or provide details below to improve the information on HOME CARE PEDIATRIC THERAPY PA.
| 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.