EUREKA SPRINGS HOSPITAL HOSPICE, LLC (NPI# 1417084765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417084765 |
| Entity Type | Organization |
| Organization Name | EUREKA SPRINGS HOSPITAL HOSPICE, LLC |
| Other Organization Name | ELITE HOSPICE |
| Practice Address |
4847 Kaylee Ave Ste A Springdale AR 72762-0871 |
| Mailing Address |
Po Box 51266 Lafayette LA 70505-1266 |
| Practice Telephone | 4797513019 |
| Practice Fax Number | 4797502710 |
| Mailing Telephone | 3372331307 |
| Mailing Fax Number | 3372335764 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-02-07 |
| Authorized Official Name | MR. NICHOLAS GACHASSIN III (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 3372331307 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | AR4472 | AR | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 167373747 | 05 |
| Other Name | Type Code |
|---|---|
| Elite Hospice | Doing Business As Name - Organization |
| Hospice of North Arkansas | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3277 W Sunset Ave, Suite D, Springdale, AR 727624947 | 4797513019 | 4797502710 |
| Street Address |
4847 KAYLEE AVE STE A |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72762-0871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861013443 | Samantha G Abbey | Behavior Technician | 6836 Issac's Orchard Rd, Springdale, AR 72762 | 2020-05-05 |
| 1598393605 | Highlands Oncology Group Pa | Pharmacy | 3901 Parkway Circle, Springdale, AR 72762 | 2020-04-01 |
| 1366922320 | Mercy Northwest Arkansas Ambulatory Services LLC | Clinic/Center | 4962 Elm Springs Road, Suite 5, Springdale, AR 72762 | 2018-08-20 |
| 1790281087 | Cheryl Nikol Treat | Nurse Practitioner | 6801 Isaacs Orchard Rd Ste 211, Springdale, AR 72762 | 2018-04-04 |
| 1902304876 | Northwest Arkansas Physical Ability Testing Center, P.a. | Clinic/Center | 4001 Wagon Wheel Road, Springdale, AR 72762 | 2018-01-25 |
| 1609387612 | Rodriguez Dentistry Pllc | Dentist | 1521 Executive Place, Suite A, Springdale, AR 72762 | 2017-10-17 |
| 1306370630 | Medworks LLC | Internal Medicine | 986 Elmwood, Suite C, Springdale, AR 72762 | 2017-04-13 |
| 1790223006 | Sam's West, Inc. | Technician/Technologist | 1517 Gene George Blvd, Springdale, AR 72762 | 2017-02-07 |
| 1255875746 | Arkansas Childrens Northwest, Inc. | General Acute Care Hospital | 2601 South 56th Street, Springdale, AR 72762 | 2016-12-19 |
| 1114473261 | Whitney E Mix | Counselor | 1672 South 48th Street, Suite B, Springdale, AR 72762 | 2016-08-29 |
| Find all providers in zip 72762 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386755460 | Circle of Life | Hospice Care, Community Based | 901 Jones Rd, Springdale, AR 72762-0875 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619457181 | Heart of Hospice LLC | Hospice Care, Community Based | 1401 S Waldron Rd Ste 201, Fort Smith, AR 72903-2590 | 2018-08-15 |
| 1144735192 | Next Page Family Support Services | Hospice Care, Community Based | 204 N Haley Ave # B, Camden, AR 71701-7172 | 2017-12-12 |
| 1649726464 | Encompass Home Health of East Texas, LLC | Hospice Care, Community Based | 3809 E 9th St Ste 10, Texarkana, AR 71854-5805 | 2016-08-31 |
| 1710339825 | Kah Development 4, LLC | Hospice Care, Community Based | 235 Garden Oaks Dr Sw Ste 235, Camden, AR 71701-3733 | 2016-07-13 |
| 1467802405 | Kah Development 4, LLC | Hospice Care, Community Based | 3801 W Main St Ste A, Russellville, AR 72801 | 2016-06-21 |
| 1003266040 | Kah Development 4, LLC | Hospice Care, Community Based | 210 N State Line Ave Ste 502, Texarkana, AR 71854-5912 | 2016-06-21 |
| 1245688050 | Hospice of Southern Arkansas | Hospice Care, Community Based | 640 Oakland Avenue, Helena, AR 72342-1504 | 2016-06-02 |
| 1841647997 | Hospice of Southern Arkansas LLC | Hospice Care, Community Based | 2620 W 28th Ave, Pine Bluff, AR 71603-4917 | 2016-05-18 |
| 1578917761 | Lhcg Lxxxiii, LLC | Hospice Care, Community Based | 3109 E Moore Ave Ste 2, Searcy, AR 72143-4825 | 2016-04-14 |
| 1235471269 | Nea Hospice, LLC | Hospice Care, Community Based | 403 S Poplar St Ste F, Searcy, AR 72143-6000 | 2013-03-16 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGDALE |
| Zip Code | 72762 |
Please comment or provide details below to improve the information on EUREKA SPRINGS HOSPITAL HOSPICE, LLC.
| 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.