FULL POTENTIAL


Address: 4 Park Dr, Bryant, AR 72022-2940
Phone: 2012497508

FULL POTENTIAL (NPI# 1730450826) 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) 1730450826
Entity Type Organization
Organization Name FULL POTENTIAL
Other Organization Name POTENTIAL HORIZON
Practice Address 4 Park Dr
Bryant
AR 72022-2940
Mailing Address 8109 Interstate 30
Little Rock
AR 72209-4840
Practice Telephone 2012497508
Mailing Telephone 5015625400
Mailing Fax Number 5015628577
Enumeration Date 2012-01-20
Last Update Date 2012-01-20
Authorized Official Name MR. RYAN BRUCE RUSSELL (SPEECH THERAPY)
Authorized Official Telephone 5015625400
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 302R00000X Health Maintenance Organization SP#2073 AR Managed Care Organizations

Other Provider/Organization Names

Other Name Type Code
Potential Horizon Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1346513637 Full Potential Health Maintenance Organization 1032 Skyline Dr, Alexander, AR 72002-1749 2012-02-16
1174891808 Full Potential Skilled Nursing Facility 8109 Interstate 30, Little Rock, AR 72209 2011-12-08
1427379387 Full Potential Clinic/Center 8109 Interstate 30, Little Rock, AR 72209-4840 2010-06-15

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Full Potential Chiropractic Inc. 808 Sunset Street, Longmont, CO 80501
Colorado Business Entities Full Potential Colorado LLC 2800 Michener Dr, Fort Collins, CO 80526
Virginia Business Entities Full Potential Education Advocacy and Consulting LLC 920 Thatcher Way, Chesapeake, Virginia 23320
New York State Corporations FULL POTENTIAL ELECTRIC INC. 1244 Lakeland Ave, Bohemia, Ny 11716
Oregon Corporations, Companies and Business Names FULL POTENTIAL HRT CLINIC 6900 Sw Atlanta Street Suite #114, Tigard, OR 97223
Oregon Corporations, Companies and Business Names FULL POTENTIAL INVESTMENTS LLC 3165 Walnut Ave, Grants Pass, OR 97527
New York State Corporations FULL POTENTIAL IT, LLC 506 Laurel Lake, Bartonsville, Pennsylvania 18321
New York State Corporations FULL POTENTIAL LLC 2105 147th St, Whitestone, Ny 11357
Washington State Corporations FULL POTENTIAL MEN'S CLINIC LLC 451 Sw 10th St, Ste 104, Renton, WA 98057-2981
Oregon Corporations, Companies and Business Names FULL POTENTIAL MEN'S CLINIC LLC 6900 Sw Atlanta Street, Suite #114, Tigard, OR 97223

Office Location

Street Address 4 PARK DR
City BRYANT
State AR
Zip Code 72022-2940

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922608868 Lindsay Paige Macphee Behavior Technician 22461-i-30 Frontage Road, Bryant, AR 72022 2020-10-29
1952913469 Kaleigh Angleton Pharmacist 5500 Ar-5, Bryant, AR 72022 2020-08-18
1851937254 Lonnell O Seamster Sr. Nurse Practitioner 501 Woody Drive, Alexander, AR 72022 2019-11-20
1366098998 Hannah Marie London Occupational Therapist 350 School Drive, Bryant, AR 72022 2019-08-09
1356996987 Micah Self Occupational Therapy Assistant 200 Nw 4th Street, Bryant, AR 72022 2019-08-09
1114437548 Samantha Lee Davis Behavioral Analyst 22461 I-30 Frontage Rd, 1100b, Bryant, AR 72022 2017-10-12
1164962171 Healthcare Express, LLP Clinic/Center 23150 I-30 N, Bryant, AR 72022 2017-02-24
1205283223 V & S Xpress LLC Non-emergency Medical Transport (VAN) 719 Sedgefield, Bryant, AR 72022 2016-05-19
1467877969 Arkansas Maxillofacial Surgery Center Dentist 411 Office Park Dr, Bryant, AR 72022 2014-02-20
1558614511 Melissa Robertson Audiologist 501 Jack Stephens Dr #547-05, Little Rock, AR 72022 2012-10-16
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Taxonomy Information

Taxonomy Code 302R00000X
Grouping Managed Care Organizations
Classification Health Maintenance Organization

Taxonomy Definition

(1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.
Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427426204 Alpha Horn Classes Health Maintenance Organization 709 Se 2nd St, Bryant, AR 72022-4062 2015-09-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982144929 Chiropractic, Acupuncture, & Metabolic Professionals Health Maintenance Organization 203 Towne Park Rd, Unit E, Springdale, AR 72762-1300 2017-02-23
1568848315 Taylor Chiropractic Plc Health Maintenance Organization 103 S Main St Ste 5, Mountain Home, AR 72653 2015-08-04
1295133791 Correct Care Solutions Health Maintenance Organization 6814 Princeton Pike, Pine Bluff, AR 71602-9411 2014-12-15
1194068734 W.a. Lucky LLC. Health Maintenance Organization 1753 N College Ave, Ste. 100, Fayetteville, AR 72703-2650 2013-04-02
1346513637 Full Potential Health Maintenance Organization 1032 Skyline Dr, Alexander, AR 72002-1749 2012-02-16
1396036018 All Smiles Health Maintenance Organization 2940 Harrison St, Batesville, AR 72501-7513 2011-04-28
1902105984 Senior Dental Care LLC. Health Maintenance Organization 25 Rahling Cir Ste C, Little Rock, AR 72223-9194 2011-03-16
1437382322 Kings's Kids Learning Center, LLC Health Maintenance Organization 10610 Chicot Rd, Mabelvale, AR 72103-2200 2009-08-26
1003050444 State Line Surgical Services, LLC Health Maintenance Organization 1310 Eastside Centre Ct # 6-142, Mountain Home, AR 72653-2705 2009-04-29
1942400312 Memory Medical Health Maintenance Organization 129 N Vaughn Rd, Fayetteville, AR 72701-0524 2007-07-23
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Competitor

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City BRYANT
Zip Code 72022

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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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