AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC


Address: 200 E Main St, Clarksville, AR 72830-3724
Phone: 4797548280

AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC (NPI# 1710943865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710943865
Entity Type Organization
Organization Name AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Other Organization Name VISITING NURSES AGENCY OF WESTERN ARKANSAS, INC.
Practice Address 200 E Main St
Clarksville
AR 72830-3724
Mailing Address 524 Garrison Ave
Po Box 1724
Fort Smith
AR 72901-2514
Practice Telephone 4797548280
Enumeration Date 2006-04-25
Last Update Date 2007-10-02
Authorized Official Name LISA RUSHING (SUPERVISOR OF CORPORATE SERVICES)
Authorized Official Telephone 4797834500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health Agencies

Other Provider/Organization Names

Other Name Type Code
Visiting Nurses Agency of Western Arkansas, Inc. Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1972560050 Area Agency On Aging of Western Arkansas, Inc Hospice Care, Community Based 102 Bolan Street, Hartford, AR 72938 2006-05-01
1821055195 Area Agency On Aging of Western Arkansas, Inc Home Health 500 Hwy 270 East, Mount Ida, AR 71957 2006-04-28
1093772741 Area Agency On Aging of Western Arkansas, Inc Hospice Care, Community Based 317 W Commercial St, Ozark, AR 72949-3107 2006-04-27
1154388999 Area Agency On Aging of Western Arkansas, Inc Hospice Care, Community Based 500 S Division St, Lavaca, AR 72941-4126 2006-04-26
1609832765 Area Agency On Aging of Western Arkansas, Inc Home Health 42 Town Sq, Greenwood, AR 72936-3200 2006-04-25
1912963075 Area Agency On Aging of Western Arkansas, Inc Home Health 600 7th St, Mena, AR 71953-3205 2006-04-25
1164488318 Area Agency On Aging of Western Arkansas, Inc Home Health 333 S 1st St, Paris, AR 72855-4453 2006-04-25
1346206653 Area Agency On Aging of Western Arkansas, Inc Home Health 398 School Ave, Winslow, AR 72959-2946 2006-04-25
1740246966 Area Agency On Aging of Western Arkansas, Inc Home Health 257 Airport Road, Suite D, Ozark, AR 72949-9266 2006-04-25
1255397311 Area Agency On Aging of Western Arkansas, Inc Home Health 1579 Clyde Hawkins Dr, Waldron, AR 72958-8972 2006-04-25

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC. 524 Garrison Ave, Fort Smith, AR 72901-2507

Office Location

Street Address 200 E MAIN ST
City CLARKSVILLE
State AR
Zip Code 72830-3724

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508465824 Alexander Frederick Case Manager/Care Coordinator 200 E Main St, Clarksville, AR 72830-3724 2020-10-19
1780299859 Justin Qualls Counselor 200 E Main St, Clarksville, AR 72830-3724 2020-09-15
1467060947 Cameron Lauckner Case Manager/Care Coordinator 200 E Main St, Clarksville, AR 72830-3724 2020-07-21
1154962025 William Stallings II Case Manager/Care Coordinator 200 E Main St, Clarksville, AR 72830-3724 2019-10-02
1629548458 Jenna Cahoon Social Worker 200 E Main St, Clarksville, AR 72830-3724 2018-12-05
1427523620 Bhc Pinnacle Pointe Hospital Clinic/Center 200 E Main St, Clarksville, AR 72830-3724 2018-10-04
1881031748 Lakin Maddox Case Manager/Care Coordinator 200 E Main St, Clarksville, AR 72830-3724 2013-05-31
1811255904 April Gale Kirk Social Worker 200 E Main St, Clarksville, AR 72830-3724 2012-04-26
1659698736 William Brad Maddox Counselor 200 E Main St, Clarksville, AR 72830-3724 2010-04-28
1437116621 Area Agency On Aging of Western Arkansas, Inc Hospice Care, Community Based 200 E Main St, Clarksville, AR 72830-3724 2006-05-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649737545 Marilyn Elaine Laster Pharmacist 211 East Main St, Clarksville, AR 72830 2019-02-27
1083186431 Kayla Chinchilla Counselor 106 Cherokee Lane, Clarksville, AR 72830 2018-12-26
1669995619 Karla D Snow Case Manager/Care Coordinator 718 Brown Street, Clarksville, AR 72830 2017-07-21
1811426232 Netscript Telemedicine Solutions Family Medicine 235 Cr 3520, Clarksville, AR 72830 2017-06-08
1275882060 Shay Morgan Dietitian, Registered 1100 East Poplar Street, Clarksville, AR 72830 2012-09-07
1518111566 Melisa Leann Traylor Case Manager/Care Coordinator 522 Mill Road, Clarksville, AR 72830 2008-11-04
1669635280 Family Foot Clinic Podiatrist 203 Sevier St, Clarksville, AR 72830 2008-07-03
1891969721 Scott Lee Landis Counselor 522 Mills Rd., Clarksville, Ar, AR 72830 2008-04-22
1437364684 Snider Family Chiropractic Clinic Chiropractor 1012 Poplar St., Clarksville, AR 72830 2007-05-11
1376765917 Jones Speech Therapy Speech-Language Pathologist 1312 North Harmony Road, Clarksville, AR 72830 2007-05-03
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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

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]

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1780824938 Hollon Financial Services Home Health 3641 S Clarksville Rd, Clarksville, OH 45113-9704 2009-03-01
1982857322 Special Needs Home Health Care Home Health 777 Dover Road, Clarksville, TN 37042-6009 2008-10-29
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Competitor

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City CLARKSVILLE
Zip Code 72830

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Dataset Information

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.

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