STATE OF ARKANSAS (NPI# 1861402901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861402901 |
| Entity Type | Organization |
| Organization Name | STATE OF ARKANSAS |
| Other Organization Name | AR DEPT OF HEALTH & HUMAN SERVICES HOME HEALTH |
| Practice Address |
5800 W 10th St Suite 300 Arkansas Dept of Health and Human Services Little Rock AR 72204-1752 |
| Mailing Address |
5800 West Tenth Street Suite 300 Arkansas Dept of Health Little Rock AR 72204 |
| Practice Telephone | 5016612614 |
| Practice Fax Number | 5016612975 |
| Mailing Telephone | 5016612614 |
| Mailing Fax Number | 5016612975 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2007-07-13 |
| Authorized Official Name | MARILYN EVANS (HOME HEALTH ADMINISTRATOR) |
| Authorized Official Telephone | 5016612540 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | AR3971 | AR | Agencies |
| Other Name | Type Code |
|---|---|
| AR Dept of Health & Human Services Home Health | Doing Business As Name - Organization |
| 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 |
| Street Address |
5800 W 10TH ST SUITE 300 ARKANSAS DEPT OF HEALTH AND HUMAN SERVICES |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72204-1752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164483426 | Mary K Richards Md Pa | Specialist | 5800 W 10th St, Suite 600, Little Rock, AR 72204-1755 | 2006-03-28 |
| 1306473756 | Aislinn Broussard | Case Manager/Care Coordinator | 5800 W 10th St, Little Rock, AR 72204-1752 | 2020-03-25 |
| 1669964102 | Joshua Byers | Counselor | 5800 W 10th St, Little Rock, AR 72204-1752 | 2018-05-31 |
| 1336647338 | Cheree Marshall Freeman | Counselor | 5800 W 10th St, Little Rock, AR 72204-1752 | 2018-01-25 |
| 1245777499 | Samantha Lumpkin | Case Manager/Care Coordinator | 5800 W 10th St, Little Rock, AR 72204-1752 | 2017-01-26 |
| 1053862953 | Kayla Marie Brown | Case Manager/Care Coordinator | 5800 W 10th St, Suite 601, Little Rock, AR 72204-1752 | 2016-10-17 |
| 1235688466 | Marsha Vault | Case Manager/Care Coordinator | 5800 W 10th St, Little Rock, AR 72204-1752 | 2016-09-29 |
| 1356896054 | Karen Swinton | Case Manager/Care Coordinator | 5800 W 10th St, Little Rock, AR 72204-1752 | 2016-08-23 |
| 1124472816 | Molly Mahoney | Case Manager/Care Coordinator | 5800 W 10th St, Little Rock, AR 72204-1752 | 2016-04-19 |
| 1225493240 | Kaylia Woodard | Case Manager/Care Coordinator | 5800 W 10th St, Little Rock, AR 72204-1752 | 2015-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669952966 | Shane Wilson | Non-emergency Medical Transport (VAN) | 1522 S Tyler St, Little Rock, AR 72204 | 2018-08-16 |
| 1659858348 | Poplar Grove Operations LLC | Skilled Nursing Facility | 7801 Kanis Road, Little Rock, AR 72204 | 2018-07-25 |
| 1275056004 | University of Arkansas for Medical Sciences | Orthopaedic Surgery | 108015 Colonel Glenn Rd, Little Rock, AR 72204 | 2017-07-24 |
| 1265954820 | Marilyn Marie Lynch | Registered Nurse | 7723 Colonel Glenn Road, Little Rock, AR 72204 | 2017-07-14 |
| 1962852954 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1122 S. University Ave, Little Rock, AR 72204 | 2016-06-21 |
| 1841607751 | Charity Gillespie | Registered Nurse | 5210 Timberland Dr, Little Rock, AR 72204 | 2014-07-14 |
| 1043625221 | Interventional Surgery Institute of Little Rock, LLC | Clinic/Center | 9 Freeway Drive, Suite A, Little Rock, AR 72204 | 2014-06-25 |
| 1548696065 | Jamie Washington | Prosthetic/Orthotic Supplier | 4701 Westwood Ave, Little Rock, AR 72204 | 2013-09-16 |
| 1124468913 | Stephanie Rachelle Jez | Genetic Counselor, MS | 5800 West 10th Street, Freeway Medical Building, Suite 7-500, Little Rock, AR 72204 | 2013-06-26 |
| 1336492321 | Alton Charles Phillips Sr. | Counselor | 4400shuffield Drive, Little Rock, AR 72204 | 2012-10-16 |
| Find all providers in zip 72204 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528670130 | Home Health Care Agency of Arkansas, LLC | Home Health | 1200 John Barrow Road Suite #111, Little Rock, AR 72205-6528 | 2020-08-17 |
| 1912521295 | Thrive Pediatric Nursing Inc | Home Health | 808 Reservoir Rd Ste A, Little Rock, AR 72227-5729 | 2020-06-03 |
| 1497317820 | 1 To 1 Home Care Services | Home Health | 1200 Westpark Dr Ste 202, Little Rock, AR 72204-2487 | 2019-07-06 |
| 1437717311 | Termeka Hubbard | Home Health | 10515 W Markham St Ste K14, Little Rock, AR 72205-2294 | 2019-06-05 |
| 1073179990 | Five Star Healthcare Services | Home Health | 10203 Whispering Pine Dr, Little Rock, AR 72209-7154 | 2019-05-15 |
| 1285122614 | Leslie Maureem Armstrong | Home Health | 6917 Geyer Springs Rd Ste 5nb, Little Rock, AR 72209-2727 | 2018-05-01 |
| 1194252338 | Majestical Care | Home Health | 4701 Baseline Rd, Little Rock, AR 72209-5205 | 2017-05-18 |
| 1811448509 | Millennium Companion, Inc | Home Health | 9700 N Rodney Parham Rd, Suite B, Little Rock, AR 72227-6244 | 2016-10-18 |
| 1558712885 | Kah Development 4, LLC | Home Health | 10800 Financial Centre Pkwy Ste 330, Little Rock, AR 72211-3544 | 2016-06-28 |
| 1881068989 | Footprints Care Hands, LLC | Home Health | 15 Forest View Pl, Little Rock, AR 72204-8504 | 2015-11-30 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72204 |
Please comment or provide details below to improve the information on STATE OF ARKANSAS.
| 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.