PERRY COUNTY DAY SERVICE CENTER, INC. (NPI# 1467672162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467672162 |
| Entity Type | Organization |
| Organization Name | PERRY COUNTY DAY SERVICE CENTER, INC. |
| Practice Address |
115 South Pine Street Perryville AR 72126 |
| Mailing Address |
Po Box 672 Perryville AR 72126-0672 |
| Practice Telephone | 5018895755 |
| Practice Fax Number | 5018895688 |
| Mailing Telephone | 5018895755 |
| Mailing Fax Number | 5018895688 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. CHRISTY CAMPBELL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5018895755 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | AR | Nursing & Custodial Care Facilities |
| Street Address |
115 SOUTH PINE STREET |
| City | PERRYVILLE |
| State | AR |
| Zip Code | 72126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447896774 | Counseling Associates, Inc. | Clinic/Center | 206 West Main, Perryville, AR 72126 | 2019-11-21 |
| 1124539648 | Access Medical Clinic Arkansas LLC | Clinic/Center | 1016 North Fourche Avenue, Perryville, AR 72126 | 2017-10-24 |
| 1730567496 | Amy Hunt | Licensed Practical Nurse | 235 Deberrie Rd, Perryville, AR 72126 | 2015-05-14 |
| 1184753899 | Perry County Food & Drug | Pharmacist | 112 Houston Avenue, Perryville, AR 72126 | 2007-03-06 |
| 1609882497 | Melissa Dian Seme | Family Medicine | 313 W. Main Street, Perryville, AR 72126 | 2006-07-31 |
| 1396734000 | Perry County Care Center Inc | Skilled Nursing Facility | 1321 Scenic Drive, Perryville, AR 72126 | 2005-10-14 |
| 1285257105 | City of Perryville | Emergency Medicine | 512 6th St, Perryville, AR 72126 | 2020-05-27 |
| 1821418922 | Liberty Ems Service LLC | Ambulance | 157 Houston Ave, Perryville, AR 72126 | 2014-04-16 |
| 1841595386 | Holly N Griffis | Nurse Practitioner | 518 N Fourche Ave, Perryville, AR 72126 | 2011-01-13 |
| 1194883355 | Benjamin Carroll Hyatt Jr. | General Practice | 1115 Aplin Avenue, Perryville, AR 72126-0265 | 2006-12-04 |
| Find all providers in zip 72126 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831302108 | Young Homes | Intermediate Care Facility, Mentally Retarded | 910 N Ithaca Ave, Russellville, AR 72801-4301 | 2007-05-07 |
| 1659592038 | Creative Living. Inc | Intermediate Care Facility, Mentally Retarded | 350 Hubbard Rd, Conway, AR 72034-6153 | 2007-05-01 |
| 1821211871 | Omega Home,inc. | Intermediate Care Facility, Mentally Retarded | 112 East Ave. D, Hope, AR 71802-1540 | 2007-04-10 |
| 1477679074 | Creative Housing IIi-newton | Intermediate Care Facility, Mentally Retarded | 232 N Newton Ave, El Dorado, AR 71730-5422 | 2007-03-22 |
| 1952427569 | Creative Housing IIi-mt Holly | Intermediate Care Facility, Mentally Retarded | 1215 Mount Holly Rd, El Dorado, AR 71730-4236 | 2007-03-22 |
| 1548386600 | Brownwood Life Care Center, Inc. | Intermediate Care Facility, Mentally Retarded | 2121 Towson Ave, Fort Smith, AR 72901-5904 | 2007-03-21 |
| 1801928627 | State of Arkansas | Intermediate Care Facility, Mentally Retarded | 87 Reed Rd, Highway 116 South, Booneville, AR 72927 | 2007-03-09 |
| 1487781027 | State of Arkansas | Intermediate Care Facility, Mentally Retarded | 14701 Highway 111, Alexander, AR 72002-1742 | 2007-02-28 |
| 1851428189 | Jenkins Housing Inc | Intermediate Care Facility, Mentally Retarded | 3401 Chapel Pines Drive South, Pine Bluff, AR 71603 | 2007-02-27 |
| 1447395439 | Community Life Services, Inc. | Intermediate Care Facility, Mentally Retarded | 1509 Michael Dr, Little Rock, AR 72204-2336 | 2007-02-20 |
| Find all providers with the same taxonomy | ||||
| City | PERRYVILLE |
| Zip Code | 72126 |
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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.