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EAST ARKANSAS AREA AGENCY ON AGING INC. NPI 1245300417


NPI Information

NPI: 1245300417
Provider Name: EAST ARKANSAS AREA AGENCY ON AGING, INC.
Classification: Home Health - 251E00000X
Entity Type: Organization
Address:
2005 E HIGHLAND DR
JONESBORO, AR
ZIP 72401
Phone: (870) 930-2212
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EAST ARKANSAS AREA AGENCY ON AGING, INC. is a home health in Jonesboro, AR. The provider is 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. EAST ARKANSAS AREA AGENCY ON AGING, INC. NPI is 1245300417. The provider is registered as an organization entity type.

The provider's business location address is:

2005 E HIGHLAND DR
JONESBORO, AR
ZIP 72401-123
Phone: (870) 930-2212
Fax: (870) 930-2230

The provider's authorized official is Tammy Darr .
The authorized official title is Assistant Director Of Finance and has the following contact phone number (870) 930-2212.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 7/22/2008.


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
1251E00000XHome HealthYes

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
1132126754MEDICAIDARKANSAS
2101758732MEDICAIDARKANSAS
3120654752MEDICAIDARKANSAS
4164322796MEDICAIDARKANSAS
5164270797MEDICAIDARKANSAS
6120655757MEDICAIDARKANSAS

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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