STATE OF ARKANSAS (NPI# 1417986555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417986555 |
| Entity Type | Organization |
| Organization Name | STATE OF ARKANSAS |
| Other Organization Name | ARKANSAS DEPARTMENT OF HEALTH HOSPICE 6 |
| Practice Address |
207 S Jefferson Columbia County Health Unit Magnolia AR 71753-3901 |
| Mailing Address |
5800 W 10th St Suite 300 Little Rock AR 72204-1752 |
| Practice Telephone | 5016612698 |
| Practice Fax Number | 5012804626 |
| Mailing Telephone | 5016612698 |
| Mailing Fax Number | 5012804626 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2012-10-09 |
| Authorized Official Name | MS. GAYLA LANUM (HOSPICE DIRECTOR) |
| Authorized Official Telephone | 5016619628 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | AR3636 | AR | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 123489747 | 05 | |
| AR | AR STATE HOPSICE LICENSE | AR3606 | 01 |
| Other Name | Type Code |
|---|---|
| Arkansas Department of Health Hospice 6 | 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 |
207 S JEFFERSON COLUMBIA COUNTY HEALTH UNIT |
| City | MAGNOLIA |
| State | AR |
| Zip Code | 71753-3901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922474014 | Angela Jones | Nurse Practitioner | 207 S Jefferson, Magnolia, AR 71753-3901 | 2015-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851939862 | Kylie Nokes | Occupational Therapy Assistant | 1403 High School Drive, Magnolia, AR 71753 | 2019-12-20 |
| 1225510266 | Douglas Palmer | Specialist/Technologist | 100 E University St, Magnolia, AR 71753 | 2018-09-06 |
| 1568940781 | Alyssa Scholl | Specialist/Technologist | Msc 8800, Magnolia, AR 71753 | 2018-07-31 |
| 1881141950 | Yuichi Takizawa | Specialist/Technologist | 2212 Lacari Dr., Fox Creek Apt #a1, Magnolia, AR 71753 | 2016-09-07 |
| 1609322981 | Stephen Baldwin Jr. | Specialist/Technologist | 100 E University Msc 9202, Magnolia, AR 71753 | 2016-08-28 |
| 1760830038 | Deborah Ellis | Developmental Therapist | 301 West Calhoun, Magnolia, ARKANSAS 71753 | 2016-05-27 |
| 1053720144 | Alaina Atkinson-murphy | Counselor | 1705 E North St, Magnolia, AR 71753 | 2014-08-04 |
| 1467701250 | Charles P Story | Physical Therapy Assistant | 191 E Columbia # 25, Magnolia, AR 71753 | 2012-09-07 |
| 1043565542 | Magnolia Surgery Center, LLC | Clinic/Center | 25 Columbia Road 47, Magnolia, AR 71753 | 2012-07-20 |
| 1427288232 | Emily Loftin | Physical Therapy Assistant | 310 West Calhoun Road, Magnolia, AR 71753 | 2009-07-15 |
| Find all providers in zip 71753 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265785935 | Harbor Hospice 28, Lp | Hospice Care, Community Based | 33300 Egypt Ln Ste F100, Magnolia, TX 77354-2740 | 2012-10-18 |
| 1003860941 | Sotto International, Inc. | Hospice Care, Community Based | 1316 E. Main Street, Magnolia, AR 71753-3826 | 2006-05-22 |
| 1760939276 | Encompass Home Health of East Texas, LLC | Hospice Care, Community Based | 128 North Washington, Magnolia, AR 71753-2856 | 2016-09-01 |
| 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 | ||||
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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.