GRAY-MILLENBAUGH PRACTITIONER HEALTHCARE, LLC (NPI# 1962883520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962883520 |
| Entity Type | Organization |
| Organization Name | GRAY-MILLENBAUGH PRACTITIONER HEALTHCARE, LLC |
| Practice Address |
3801 Camden Rd Chapel Village 1 Suite 12 Pine Bluff AR 71603-4612 |
| Practice Telephone | 8705344847 |
| Practice Fax Number | 8705344884 |
| Mailing Telephone | 8705344847 |
| Mailing Fax Number | 8705344884 |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2015-06-09 |
| Authorized Official Name | DIANA GRAY MILLENBAUGH (OWNER) |
| Authorized Official Telephone | 8703294202 |
| Authorized Official Credential | MSN, APRN, BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
A002944 | AR | Ambulatory Health Care Facilities |
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
A002944 | AR | Ambulatory Health Care Facilities |
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
A002944 | AR | Ambulatory Health Care Facilities |
| Y | 251J00000X | Nursing Care | A002944 | AR | Agencies |
| Street Address |
3801 CAMDEN RD CHAPEL VILLAGE 1 SUITE 12 |
| City | PINE BLUFF |
| State | AR |
| Zip Code | 71603-4612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851379507 | Hospice Care Services | Hospice Care, Community Based | 3801 Camden Rd, Suite 12, Pine Bluff, AR 71603 | 2006-01-04 |
| 1225073596 | Noormahal Kabani | Internal Medicine | 3801 Camden Rd, Suite 22, Pine Bluff, AR 71603-4612 | 2006-06-19 |
| 1801853858 | True Home Care - LLC | Durable Medical Equipment & Medical Supplies | 3801 Camden Rd, #2a, Pine Bluff, AR 71603-4612 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700445038 | Hannah Carter | Dentist | 3801 S Olive St, Pine Bluff, AR 71603 | 2019-06-11 |
| 1821544628 | Nauman Yunus Md Pa | Internal Medicine | 1600 West 40th Ave, Jefferson Regional Medical Center, Pine Bluff, AR 71603 | 2016-08-31 |
| 1407278120 | Arkansas Cancer Clinic Pa | Radiology | 7200 South Hazel Street, Pine Bluff, AR 71603 | 2014-01-15 |
| 1730515396 | Sharon Yvette Webb | Student in an Organized Health Care Education/Training Program | 2318 Kyle Street, Pine Bluff, AR 71603 | 2013-09-16 |
| 1477992733 | David Larry Byrd | Pharmacist | 5 Longmeadow, Pine Bluff, AR 71603 | 2013-06-20 |
| 1437400371 | Thomas Jordan Harper | Pharmacist | 2809 South Camden Road, Pine Bluff, AR 71603 | 2012-10-01 |
| 1992080469 | C&d Disability.inc | Early Intervention Provider Agency | 4806 W 9th Street, Pine Bluff, AR 71603 | 2011-10-17 |
| 1457645863 | Clifton G Roaf & Marvin Q Caudle | Dentist | 1310 South Linden Street, Pine Bluff, AR 71603 | 2011-06-02 |
| 1932402682 | Mary Campbell | Licensed Practical Nurse | 2302 W. 28th, Suite A, Pine Bluff, AR 71603 | 2010-12-17 |
| 1245468925 | Evan N Newbolt | Ophthalmology | 3805 West 28th Ave, Pine Bluff, AR 71603 | 2009-07-01 |
| Find all providers in zip 71603 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073163887 | Andersyn Medical Associates, Pllc | Nursing Care | 65 Iona Way, Batesville, AR 72501-4224 | 2019-09-13 |
| 1306336433 | Arserene Home Health Services LLP | Nursing Care | 12910 Misty Creek Dr, Little Rock, AR 72211-4060 | 2018-05-15 |
| 1255846523 | Lhcg Cv, LLC | Nursing Care | 111 N Main St Ste 1, Salem, AR 72576-9473 | 2017-12-08 |
| 1518472885 | Lhcg Cii, LLC | Nursing Care | 1048 S 48th St Ste A, Springdale, AR 72762-6069 | 2017-12-08 |
| 1598288243 | Sandi Flores Consulting Group | Nursing Care | 141 Coyote Ln, Pleasant Plains, AR 72568-9800 | 2017-07-24 |
| 1417409343 | Loura Flowers | Nursing Care | 2204 S Timber Street, Stuttgart, AR 72160 | 2016-10-26 |
| 1750782744 | Arkansas Extended Care, LLC | Nursing Care | 1227 State Highway 77 Ste 1, Marion, AR 72364-9049 | 2014-09-09 |
| 1265833636 | Arkansas Home Health Providers-iv, LLC | Nursing Care | 3024 Red Wolf Blvd, Suite 6, Jonesboro, AR 72401-7415 | 2014-09-04 |
| 1306247770 | Arkansas Home Health Providers-iii, LLC | Nursing Care | 1227 State Highway 77 Ste 2, Marion, AR 72364-9049 | 2014-09-04 |
| 1043557788 | Lhcg Xlii, LLC | Nursing Care | 4847 Kaylee Ave Ste B, Springdale, AR 72762-0872 | 2013-01-15 |
| Find all providers with the same taxonomy | ||||
| City | PINE BLUFF |
| Zip Code | 71603 |
Please comment or provide details below to improve the information on GRAY-MILLENBAUGH PRACTITIONER HEALTHCARE, LLC.
| 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.