BLACK RIVER AREA DEVELOPMENT CORP. SENIOR CITIZENS PROGRAM NPI 1306011200

NPI Information

  • NPI: 1306011200
  • Provider Name: BLACK RIVER AREA DEVELOPMENT CORP. SENIOR CITIZENS PROGRAM
  • Classification: Home Delivered Meals - 332U00000X
  • Entity Type: Organization
  • Address: 1403 HOSPITAL DR
    POCAHONTAS, AR
    ZIP 72455
  • Phone: (870) 892-4547

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NPI Details

BLACK RIVER AREA DEVELOPMENT CORP. SENIOR CITIZENS PROGRAM is a home delivered meals in Pocahontas, AR. The provider is home-delivered meals are those services or activities designed to prepare and deliver one or more meals a day to an individual's residence in order to prevent institutionalization, malnutrition, and feelings of isolation. Component services or activities may include the cost of personnel, equipment, and food; assessment of nutritional and dietary needs; nutritional education and counseling; socialization services; and information and referral. BLACK RIVER AREA DEVELOPMENT CORP. SENIOR CITIZENS PROGRAM NPI is 1306011200. The provider is registered as an organization entity type.

The provider's business location address is:

1403 HOSPITAL DR
POCAHONTAS, AR
ZIP 72455-847
Phone: (870) 892-4547
Fax: (870) 892-0707

The provider's authorized official is Jim Jansen .
The authorized official title is Director Of Black River Area Dev. and has the following contact phone number (870) 892-4547.

The enumeration date for this NPI number is 4/23/2008 and was last updated on 4/23/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332U00000XHome Delivered MealsYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1120546753MEDICAIDARKANSAS

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: 11/21/2025

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