CRITTENDEN HOSPITAL ASSOCIATION, INC (NPI# 1356382329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356382329 |
| Entity Type | Organization |
| Organization Name | CRITTENDEN HOSPITAL ASSOCIATION, INC |
| Other Organization Name | CRITTENDEN REGIONAL HOSPITAL HOME HEALTH-WEST MEMPHIS |
| Practice Address |
200 W Tyler Ave West Memphis AR 72301-4223 |
| Practice Telephone | 8707327777 |
| Practice Fax Number | 8707327773 |
| Mailing Telephone | 8707327777 |
| Mailing Fax Number | 8707327773 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2013-02-08 |
| Authorized Official Name | MR. EUGENE K CASHMAN III (CEO) |
| Authorized Official Telephone | 8707351500 |
| Is Organization Subpart | Y |
| Parent Organization Name | CRITTENDEN HOSPITAL ASSOCIATION, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | AR4086 | AR | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 117827514 | 05 | |
| AR | BLUE CROSS BLUE SHIELD | 17341 | 01 |
| Other Name | Type Code |
|---|---|
| Crittenden Regional Hospital Home Health-West Memphis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740294909 | Crittenden Hospital Association, Inc | Hospice Care, Community Based | 308 S Rhodes St, West Memphis, AR 72301-4215 | 2006-07-27 |
| Street Address |
200 W TYLER AVE |
| City | WEST MEMPHIS |
| State | AR |
| Zip Code | 72301-4223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750368759 | Donald William Edgerly | Family Medicine | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2005-12-30 |
| 1811397466 | Meshelle Elizabeth Nabors | Registered Nurse | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2014-09-02 |
| 1386064103 | Brittany Forbes | Nurse Practitioner | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2014-04-19 |
| 1679833651 | Crittenden Physician Services LLC | Physician Assistant | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2012-05-23 |
| 1225366024 | Crittenden Emergency Group LLC | Physician Assistant | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2009-12-07 |
| 1659608735 | Angela R Whatley | Doula | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2009-11-10 |
| 1346483799 | Kimberly Latashia Crenshaw | Emergency Medicine | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2009-04-15 |
| 1215182985 | Jason C Mckewen | Pharmacist | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2008-11-23 |
| 1588875629 | Deepali Suryavanshi | Occupational Therapist | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2007-05-24 |
| 1316155971 | Crittenden Hospital Association | Home Health | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2007-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235755497 | Shannon Mcelroy | Pharmacist | 300 I-40 Service Rd, West Memphis, AR 72301 | 2020-06-23 |
| 1891319745 | Heather Nichole Fesperman | Nurse Practitioner | 420 W Cooper Ave, West Memphis, AR 72301 | 2020-06-05 |
| 1174161475 | Mary Williams | Pharmacist | 300 I-40 Service Road, West Memphis, AR 72301 | 2019-12-17 |
| 1336787035 | Yolanda Monique Fulton | Assisted Living Facility | 711 Purduve Ave, West Memphis, AR 72301 | 2019-12-13 |
| 1255813317 | Urgent Care Travel, Inc | Clinic/Center | 3400 Service Loop 2, West Memphis, AR 72301 | 2018-09-05 |
| 1841770302 | Cuffie Healthcare LLC | Home Health | 403 Ingram Blvd, West Memphis, AR 72301 | 2018-08-15 |
| 1467940312 | Mark Aaron Whitlock | Dentist | 110 Dover Rd, West Memphis, AR 72301 | 2018-04-26 |
| 1043715329 | Crossroads Treatment Center of West Memphis, PC | Clinic/Center | 103 S Avalon St, West Memphis, AR 72301 | 2018-03-28 |
| 1114445202 | Deborah Thompson Ferguson | Dentist | 200 S Rhodes St Ste B, West Memphis, AR 72301 | 2017-09-08 |
| 1154745487 | Erin Camille Greer | Specialist/Technologist | 610 N. Missouri Street, Suite 1, West Memphis, AR 72301 | 2014-02-06 |
| Find all providers in zip 72301 | ||||
| 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 |
|---|---|---|---|---|
| 1447876024 | Jabez Community Resource Center | Home Health | 2910 Dickson St, West Memphis, AR 72301-3638 | 2020-06-19 |
| 1427607837 | Leyia Staffing Agency LLC | Home Health | 309 N 6th St Ste 3, West Memphis, AR 72301-3294 | 2019-09-09 |
| 1063076594 | Developmental Milestones Center, LLC | Home Health | 312 N Missouri St Ste 1, West Memphis, AR 72301-3186 | 2019-04-30 |
| 1972167625 | Js Home Health LLC | Home Health | 310 Mid Continent Plz Ste 601, West Memphis, AR 72301-1763 | 2019-04-29 |
| 1841770302 | Cuffie Healthcare LLC | Home Health | 403 Ingram Blvd, West Memphis, AR 72301 | 2018-08-15 |
| 1497130611 | We Care Healthcare | Home Health | 403 Rice St, West Memphis, AR 72301-4130 | 2015-07-29 |
| 1952311094 | State of Arkansas | Home Health | 901 N 7th St, Crittenden County Health Unit, West Memphis, AR 72301-2001 | 2006-08-09 |
| 1487055851 | Arkansas Home Health Providers-iii, LLC | Home Health | 318 S Rhodes St, West Memphis, AR 72301-4215 | 2014-09-04 |
| 1316155971 | Crittenden Hospital Association | Home Health | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2007-05-18 |
| 1164436317 | Crittenden Cares, Inc | Home Health | 308 S Rhodes St, West Memphis, AR 72301-4215 | 2006-07-27 |
| Find all providers in WEST MEMPHIS | ||||
| City | WEST MEMPHIS |
| Zip Code | 72301 |
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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.