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1 SOURCE SENIOR CARE NPI 1619501087


NPI Information

NPI: 1619501087
Provider Name: 1 SOURCE SENIOR CARE
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
1820 SHELBY LN
FAYETTEVILLE, AR
ZIP 72704
Phone: (479) 443-7173
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1 SOURCE SENIOR CARE is an in home supportive care in Fayetteville, AR. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. 1 SOURCE SENIOR CARE NPI is 1619501087. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1820 SHELBY LN
FAYETTEVILLE, AR
ZIP 72704-255
Phone: (479) 443-7173
Fax: (479) 443-0183

The provider's authorized official is Cathy Robertson .
The authorized official title is Owner and has the following contact phone number (479) 443-7173.

The enumeration date for this NPI number is 2/25/2020 and was last updated on 1/21/2022.


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
1171M00000XCase Manager/Care CoordinatorNo
2251B00000XCase ManagementNo
3385H00000XRespite CareNo
4253Z00000XIn Home Supportive CareYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.