Provider Type Icon

GRAY-MILLENBAUGH PRACTITIONER HEALTHCARE LLC NPI 1962883520


NPI Information

NPI: 1962883520
Provider Name: GRAY-MILLENBAUGH PRACTITIONER HEALTHCARE, LLC
Classification: Nursing Care - 251J00000X
Entity Type: Organization
Address:
3801 CAMDEN RD
CHAPEL VILLAGE 1 SUITE 12
PINE BLUFF, AR
ZIP 71603
Phone: (870) 534-4847
Get Directions

GRAY-MILLENBAUGH PRACTITIONER HEALTHCARE, LLC is a nursing care in Pine Bluff, AR. The provider is 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. GRAY-MILLENBAUGH PRACTITIONER HEALTHCARE, LLC NPI is 1962883520. The provider is registered as an organization entity type.

The provider's business location address is:

3801 CAMDEN RD
CHAPEL VILLAGE 1 SUITE 12
PINE BLUFF, AR
ZIP 71603-612
Phone: (870) 534-4847
Fax: (870) 534-4884

The provider's authorized official is Diana Gray Millenbaugh .
The authorized official title is Owner and has the following contact phone number (870) 329-4202.

The enumeration date for this NPI number is 6/9/2015 and was last updated on 6/9/2015.


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
1261QE0002XClinic/CenterEmergency CareA002944ARKANSASNo
2261QH0100XClinic/CenterHealth ServiceA002944ARKANSASNo
3261QP2300XClinic/CenterPrimary CareA002944ARKANSASNo
4251J00000XNursing CareA002944ARKANSASYes

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

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.