HARRIS SOUTHEAST CARE HOME NPI 1366590572

NPI Information

  • NPI: 1366590572
  • Provider Name: HARRIS SOUTHEAST CARE HOME
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Organization
  • Address: 534 S 16TH ST
    WEST MEMPHIS, AR
    ZIP 72301
  • Phone: (870) 732-1200

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NPI Details

HARRIS SOUTHEAST CARE HOME is an adult care home custodial care facility in West Memphis, AR. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. HARRIS SOUTHEAST CARE HOME NPI is 1366590572. The provider is registered as an organization entity type.

The provider's business location address is:

534 S 16TH ST
WEST MEMPHIS, AR
ZIP 72301-631
Phone: (870) 732-1200
Fax: (870) 733-9153

The provider's authorized official is Helen Jean Harris .
The authorized official title is Administrator and has the following contact phone number (870) 732-1200.

The enumeration date for this NPI number is 1/7/2007 and was last updated on 8/22/2020.

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
1311ZA0620XCustodial Care FacilityAdult Care Home345ARKANSASYes

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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