BOONE COUNTY INDEPENDENT LIVING, INC. (NPI# 1851458301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851458301 |
| Entity Type | Organization |
| Organization Name | BOONE COUNTY INDEPENDENT LIVING, INC. |
| Practice Address |
206 S Cherry St Ste D Harrison AR 72601-5044 |
| Mailing Address |
Po Box 2300 Harrison AR 72602-2300 |
| Practice Telephone | 8707416909 |
| Practice Fax Number | 8707414549 |
| Mailing Telephone | 8707416909 |
| Mailing Fax Number | 8707414549 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. KORIN WESTCOTT (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8707416909 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| Street Address |
206 S CHERRY ST STE D |
| City | HARRISON |
| State | AR |
| Zip Code | 72601-5044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184280364 | Linda Marie Balcerak | Physical Therapy Assistant | 400 Hwy 43 East, Harrison, AR 72601 | 2019-05-14 |
| 1750847315 | Boston Mountain Rural Health Center Inc. | Clinic/Center | 1002 North Spring St., Harrison, AR 72601 | 2019-02-19 |
| 1154808236 | Carrie Lynn Miller | Midwife | 5977 Sulphur. Mt. Rd, Harrison, AR 72601 | 2018-07-23 |
| 1255833778 | Julie Foster, Speech Language Pathologist, Inc. | Speech-Language Pathologist | 1898 Foley Rd, Harrison, AR 72601 | 2018-02-28 |
| 1386163582 | Reagan Brittany Kenney | Case Manager/Care Coordinator | 4537 Meadow Wood Lane, Harrison, AR 72601 | 2017-09-19 |
| 1306394465 | Rebecca Jane Mcanulty | Nurse Practitioner | 702 N. Springs Street, Harrison, AR 72601 | 2016-09-19 |
| 1194174763 | Jessalyn Foy | Case Manager/Care Coordinator | 413 N Rowland St, Harrison, AR 72601 | 2016-06-06 |
| 1689022311 | Eva Laynette Norris | Case Manager/Care Coordinator | 114 E. Crandall, Harrison, AR 72601 | 2016-06-03 |
| 1760830491 | Jana Daniels | Case Manager/Care Coordinator | 9378a Hwy 7 North, Harrison, AR 72601 | 2016-06-03 |
| 1376992016 | Laken Nichole Curtis | Case Manager/Care Coordinator | 5985 James Phifer Ln, Harrison, AR 72601 | 2016-06-03 |
| Find all providers in zip 72601 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891334835 | Abilities Pediatric Pllc | Clinic/Center | 908 Shorecrest Ave, Harrison, AR 72601-1953 | 2019-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962029694 | Developmental Milestones Adult Day Center | Clinic/Center | 700 N Missouri St, West Memphis, AR 72301-3150 | 2020-06-29 |
| 1912494527 | Equestrian Zone | Clinic/Center | 4800 S Frankfort Ave, Russellville, AR 72802-0823 | 2018-04-18 |
| 1174024715 | Lacretia Bruce | Clinic/Center | 12 Fox Run Dr, Little Rock, AR 72210-7133 | 2018-02-27 |
| 1215348552 | Tera Goodman | Clinic/Center | 15 Barber Dr, Hardy, AR 72542-9109 | 2014-05-08 |
| 1790124659 | Kidscorp of Fayetteville, Inc | Clinic/Center | 2210 Main Dr, Springdale, AR 72762-6802 | 2013-06-24 |
| 1710322094 | First Step Arkansas, LLC | Clinic/Center | 6263 Highway 49 South, Paragould, AR 72450 | 2013-05-01 |
| 1043536063 | Cb King Uam Campus | Clinic/Center | 1711 East Ash Street, Mcgehee, AR 71654 | 2010-04-15 |
| 1508037870 | Kids for The Future Rogers, Inc. | Clinic/Center | 3307 N Dixieland Rd, Rogers, AR 72756-6816 | 2008-03-14 |
| 1306979265 | From The Beginning Chms Clinic | Clinic/Center | 120 Nix Ridge Rd, Ash Flat, AR 72513-9017 | 2007-03-13 |
| 1760091433 | The Doni Martin Center for Developmental Services, Inc. | Clinic/Center | 1506 N Park St, Pocahontas, AR 72455-2111 | 2020-07-28 |
| Find all providers with the same taxonomy | ||||
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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.