TOTAL LIFE HEALTHCARE, INC. (NPI# 1477729069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477729069 |
| Entity Type | Organization |
| Organization Name | TOTAL LIFE HEALTHCARE, INC. |
| Other Organization Name | ALLCARE OF ARKANSAS |
| Practice Address |
700 E Washington Ave Jonesboro AR 72401-3071 |
| Mailing Address |
225 E Jackson Ave # 92 Jonesboro AR 72401-3119 |
| Practice Telephone | 8703365002 |
| Practice Fax Number | 8703365001 |
| Mailing Telephone | 8703365002 |
| Mailing Fax Number | 8703365001 |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2008-05-05 |
| Authorized Official Name | MR. EUGENE JOHN WING (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8703365002 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. BERNARDS HEALTHCARE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251T00000X | PACE Provider Organization | Agencies |
| Other Name | Type Code |
|---|---|
| ALLcare of Arkansas | Former Legal Business Name - Organization |
| Street Address |
700 E WASHINGTON AVE |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-3071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 251T00000X |
| Grouping | Agencies |
| Classification | PACE Provider Organization |
| A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. |
| Notes: Source: Centers for Medicare and Medicaid, PACE Fact Sheet http://www.cms.hhs.gov/PACE/Downloads/PACEFactSheet.pdf [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079315 | Happy Homecare | PACE Provider Organization | 46 Dominar Way, Hot Springs Village, AR 71909-7336 | 2020-10-06 |
| 1932668142 | Faithful Home Care, LLC | PACE Provider Organization | 622 Denton, Benton, AR 72015-3424 | 2019-03-18 |
| 1366929846 | Washington Regional Medicorp, Inc. | PACE Provider Organization | 813 Founders Park Dr E Ste 107, Springdale, AR 72762-6314 | 2018-07-26 |
| 1184086175 | Complete Health With Pace | PACE Provider Organization | 2100 Pike Ave, North Little Rock, AR 72114-2604 | 2016-03-28 |
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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.