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AREA AGENCY ON AGING OF NORTHWEST ARKANSAS NPI 1114980109


NPI Information

NPI: 1114980109
Provider Name: AREA AGENCY ON AGING OF NORTHWEST ARKANSAS
Classification: Home Health Aide - 374U00000X
Entity Type: Organization
Address:
1510 ROCK SPRINGS RD
HARRISON, AR
ZIP 72601
Phone: (870) 741-1144
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AREA AGENCY ON AGING OF NORTHWEST ARKANSAS is a home health aide in Harrison, AR. The provider is a person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. AREA AGENCY ON AGING OF NORTHWEST ARKANSAS NPI is 1114980109. The provider is registered as an organization entity type.

The provider's business location address is:

1510 ROCK SPRINGS RD
HARRISON, AR
ZIP 72601-804
Phone: (870) 741-1144
Fax: (870) 741-1153

The provider's authorized official is Richard B Bailey .
The authorized official title is Executive Director and has the following contact phone number (870) 741-1144.

The enumeration date for this NPI number is 4/10/2006 and was last updated on 11/29/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1253Z00000XIn Home Supportive CareNo
2261QA0600XClinic/CenterAdult Day CareNo
3332B00000XDurable Medical Equipment & Medical SuppliesMG00523ARKANSASNo
4374U00000XHome Health AideYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1149256716MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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