STATE OF ARKANSAS


Address: 503 Walnut St, Miller County Health Unit, Texarkana, AR 71854-5286
Phone: 8707732108

STATE OF ARKANSAS (NPI# 1770593816) 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) 1770593816
Entity Type Organization
Organization Name STATE OF ARKANSAS
Other Organization Name MILLER COUNTY HEALTH UNIT
Practice Address 503 Walnut St
Miller County Health Unit
Texarkana
AR 71854-5286
Mailing Address 5800 West 10th Street
Suite 300
Little Rock
AR 72204-1764
Practice Telephone 8707732108
Practice Fax Number 8707733292
Mailing Telephone 5016612614
Mailing Fax Number 5016612975
Enumeration Date 2006-08-09
Last Update Date 2008-09-11
Authorized Official Name MARILYN EVANS (HOME HEALTH ADMINISTRATOR)
Authorized Official Telephone 5016612540
Authorized Official Credential RN
Is Organization Subpart Y
Parent Organization Name STATE OF ARKANSAS

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health AR4005 AR Agencies

Other Provider Identifier

State Issuer Identifier Type Code
AR 104312514 05

Other Provider/Organization Names

Other Name Type Code
Miller County Health Unit Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1689117756 State of Arkansas Skilled Nursing Facility 2401 John Ashley Drive, Building #100, North Little Rock, AR 72114 2016-11-22
1023236163 State of Arkansas Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1 Center Cir, Warren, AR 71671-3033 2007-04-23
1477672608 State of Arkansas Case Management 5800 W 10th St Ste 300, Arkansas Dhhs, Little Rock, AR 72204-1764 2007-03-28
1801928627 State of Arkansas Intermediate Care Facility, Mentally Retarded 87 Reed Rd, Highway 116 South, Booneville, AR 72927 2007-03-09
1407988355 State of Arkansas Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1 Prator Drive, Arkadelphia, AR 71923 2007-03-09
1487781027 State of Arkansas Intermediate Care Facility, Mentally Retarded 14701 Highway 111, Alexander, AR 72002-1742 2007-02-28
1386770030 State of Arkansas Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4701 Colony Dr, Jonesboro, AR 72404-9317 2007-02-26
1093840282 State of Arkansas Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 150 Siebenmorgen Rd, Conway, AR 72032 2007-02-21
1417052895 State of Arkansas Skilled Nursing Facility 1179 N. College Avenue, Fayetteville, AR 72703 2006-09-13
1912014192 State of Arkansas Home Health # 22 Sherwood Plaza, Johnson County Health Unit, Clarksville, AR 72830-4337 2006-08-24

Office Location

Street Address 503 WALNUT ST
MILLER COUNTY HEALTH UNIT
City TEXARKANA
State AR
Zip Code 71854-5286

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467849794 Kendra Dewberry Nurse Practitioner 503 Walnut St, Texarkana, AL 71854 2015-04-24
1194844761 Department of Health and Human Services Public Health or Welfare 503 Walnut St, Texarkana, AR 71854-5286 2007-03-28
1659490050 Department of Health and Human Services Public Health or Welfare 503 Walnut St, Texarkana, AR 71854-5286 2007-03-28
1972622561 Department of Health and Human Services Public Health or Welfare 503 Walnut St, Texarkana, AR 71854-5286 2007-03-28
1659499556 Department of Health and Human Services Public Health or Welfare 503 Walnut St, Texarkana, AR 71854-5286 2007-03-27
1871612549 Department of Health and Human Services Public Health or Welfare 503 Walnut St, Texarkana, AR 71854-5286 2007-03-27
1861594632 Vickie Lou Jones Registered Nurse 503 Walnut St, Texarkana, AR 71854-5286 2006-09-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962988253 Holly Renee Snipe Registered Nurse 4700 Sunbury Dr, Texarkana, AR 71854 2018-07-19
1023500634 Carlotta A Powell Counselor 7000 N Stateline Ave, Texarkana, AR 71854 2018-05-31
1326538810 Chad Roldan Occupational Therapy Assistant 6402 Countryside Dr, Texarkana, AR 71854 2018-05-10
1649797481 Alliance Counseling Agency LLC Community/Behavioral Health 819 Beech St, Texarkana, AR 71854 2017-08-23
1366971467 Kimberly Dian Cox Case Manager/Care Coordinator 7000 North Stateline Ave, Texarkana, AR 71854 2017-06-12
1295260040 Seniors for Senior Care Adult Companion 4613 Parkway Dr., Texarkana, AR 71854 2017-04-28
1033650635 Texarkana Eye Associates Optometrist 114 East 49th St, Texarkana, AR 71854 2017-03-15
1881064731 Texarkana Group, P.l.l.c Chiropractor 2100 N. State Line Ave., Texarkana, AR 71854 2015-10-05
1528301819 Megan Guercio Specialist/Technologist 1002 East 35th Street, Texarkana, AR 71854 2013-04-04
1831439116 James Wesley Mcraven Nurse Practitioner 210 N. Stateline, Suite 301, Texarkana, AR 71854 2013-02-22
Find all providers in zip 71854

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346692456 Kah Development 4, LLC Home Health 210 N State Line Ave Ste 501, Texarkana, AR 71854-5912 2016-07-13
1902290182 Ahm Action Home Health, Lp Home Health 2900 Saint Michael Dr Ste 400c, Texarkana, TX 75503-5211 2015-03-25
1780076208 Ahm Action Home Health, Lp Home Health 3809 E 9th St Ste 12, Texarkana, AR 71854-5805 2015-02-20
1326473372 Shaun's Respiratory Solutions, LLP Home Health 1006 Westlawn Dr, Texarkana, TX 75501-4069 2013-09-10
1568726271 Owens Health Management LLC Home Health 1925 W 7th St, Texarkana, TX 75501-5351 2012-06-27
1497016927 Bethany Hh of Texarkana LLC Home Health 3004 Moores Ln, Texarkana, TX 75503-2204 2012-05-31
1629307293 Healthback Home Health of N.e. Texas, Inc. Home Health 2501 Summerhill Rd, Texarkana, TX 75501-3568 2009-12-10
1366682080 Healthcare Associates, LLC Home Health 2405 Moores Ln, Texarkana, TX 75503 2009-02-21
1144466863 Helping Hands Homecare, Ltd Home Health 5495 Summerhill Rd, Texarkana, TX 75503-4608 2008-12-30
1427103688 Artex Medical, Inc. Home Health 3101 Kennedy Ln, Suite 1000, Texarkana, TX 75503-2457 2007-01-25
Find all providers in TEXARKANA

Competitor

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City TEXARKANA
Zip Code 71854

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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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