SOUTH ARKANSAS DEVELOPMENTAL CENTER (NPI# 1760705339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760705339 |
| Entity Type | Organization |
| Organization Name | SOUTH ARKANSAS DEVELOPMENTAL CENTER |
| Practice Address |
714 W Grove St El Dorado AR 71730-4416 |
| Practice Telephone | 8708638194 |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2010-03-10 |
| Authorized Official Name | MRS. BARBARA STAGGS (BUSINESS MANAGER) |
| Authorized Official Telephone | 8708638194 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 165057772 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOUTH ARKANSAS DEVELOPMENTAL CENTER FOR CHILDREN & FAMILIES | 714 W Grove St, El Dorado, AR 71730-4416 |
| Street Address |
714 W GROVE ST |
| City | EL DORADO |
| State | AR |
| Zip Code | 71730-4416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477679041 | South Arkansas Developmental Center for Children and Families | Day Training, Developmentally Disabled Services | 714 W Grove St, El Dorado, AR 71730-4416 | 2007-03-22 |
| 1851916738 | Community Living Arrangements | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 714 W Grove St, El Dorado, AR 71730-4416 | 2020-06-16 |
| 1902421829 | Anna Fairris | Physical Therapist | 714 W Grove St, El Dorado, AR 71730-4416 | 2020-06-16 |
| 1124650577 | Shelby Jones | Physical Therapy Assistant | 714 W Grove St, El Dorado, AR 71730-4416 | 2020-02-04 |
| 1245793207 | Allie Breanne Alspaugh | Occupational Therapist | 714 W Grove St, El Dorado, AR 71730-4416 | 2019-04-08 |
| 1437585148 | Julie Elaine Smith | Occupational Therapist | 714 W Grove St, El Dorado, AR 71730-4416 | 2013-09-25 |
| 1952608259 | Meredith Ellerbe | Physical Therapy Assistant | 714 W Grove St, El Dorado, AR 71730-4416 | 2011-02-22 |
| 1497080485 | South Arkansas Developmental Center for Children and Families | Day Training, Developmentally Disabled Services | 714 W Grove St, El Dorado, AR 71730-4416 | 2009-10-08 |
| 1770747776 | Mia Deshon Springer | Registered Nurse | 714 W Grove St, El Dorado, AR 71730-4416 | 2008-07-18 |
| 1104088749 | Kathy Jackson | Physical Therapist | 714 W Grove St, El Dorado, AR 71730-4416 | 2008-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856172 | Mental Health Counseling for Individuals and Couples | Clinic/Center | 3256 West Hillsboro Suite C, El Dorado, AR 71730 | 2019-11-25 |
| 1114578168 | Candance Marie Guinn | Nurse Practitioner | 1906 W Hillsboro St Ste B, El Dorado, AR 71730 | 2019-09-20 |
| 1811460462 | Kelsie Rogers | Pharmacist | 2202 N West Ave, El Dorado, El Dorado, AR 71730 | 2019-01-07 |
| 1861925331 | Kasey Leigh Mcclain | Nurse Practitioner | 2280 E Main St, El Dorado, AR 71730 | 2017-04-11 |
| 1366989568 | Shane Morr | Marriage & Family Therapist | 704 W 5th Dr, El Dorado, AR 71730 | 2017-01-25 |
| 1376986539 | Ivory A. Kinslow, Mdpa | Optometrist | 443 W Oak St, El Dorado, AR 71730 | 2013-04-08 |
| 1134485170 | Drs Weddle and Baumsardner | Dentist | 106 West Main St. 212, El Dorado, AR 71730 | 2012-04-04 |
| 1972888923 | Lenora S Newsome | Pharmacist | 2135 North West Ave, El Dorado, AR 71730 | 2011-10-20 |
| 1730460338 | South Arkansas Pharmacy, Inc | Pharmacy | 600 South Timberlane #101, El Dorado, AR 71730 | 2011-09-09 |
| 1710273891 | Ezinne Charity Nwude | Emergency Medicine | 701 N. West Avenue, El Dorado, AR 71730 | 2011-06-27 |
| Find all providers in zip 71730 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851853105 | Sdx Home Care Operations, LLC | In Home Supportive Care | 202 N Washington Ave Ste 105, El Dorado, AR 71730-5697 | 2019-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727613 | Arkansas 1st Class Consumer Directed Services LLC | In Home Supportive Care | 825 E Main St Ste I, Blytheville, AR 72315-2599 | 2020-10-15 |
| 1548877574 | Rest Assured Home Care LLC | In Home Supportive Care | 222 Rivendale Dr, West Fork, AR 72774-3208 | 2020-09-24 |
| 1366058570 | Brooke Mcdowell | In Home Supportive Care | 8321 Edmar Pl, North Little Rock, AR 72117-1576 | 2020-09-22 |
| 1891312781 | Tgmae Seven Services, LLC | In Home Supportive Care | 3312 Jeridon Cv, Jonesboro, AR 72404-8196 | 2020-06-26 |
| 1467078725 | Seek Him Enterprises LLC | In Home Supportive Care | 5552 Village Dr, Benton, AR 72019-9466 | 2020-06-23 |
| 1245850023 | Diamond State Personal Care, Inc. | In Home Supportive Care | 240 Skyline Dr Ste 301, Conway, AR 72032-2810 | 2020-04-21 |
| 1326671777 | Village Angels, Inc | In Home Supportive Care | 198 Carmona Rd Ste 12, Hot Springs Village, AR 71909-2919 | 2020-02-13 |
| 1679113583 | Dm Parks Inc., Dba Comfort Keepers | In Home Supportive Care | 5068 N Arkansas Ave, Russellville, AR 72802-8325 | 2020-01-08 |
| 1285279703 | Love & Care Home Care Services LLC | In Home Supportive Care | 229 Lonsdale Cir, Jacksonville, AR 72076-6323 | 2019-11-07 |
| 1609419076 | Luvenia Blair | In Home Supportive Care | 13605 Hansfield Cir, North Little Rock, AR 72117-5366 | 2019-10-17 |
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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.