ST BERNARDS HOSPITAL INC (NPI# 1023048659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023048659 |
| Entity Type | Organization |
| Organization Name | ST BERNARDS HOSPITAL INC |
| Other Organization Name | ST BERNARDS HOME HEALTH |
| Practice Address |
1726 Marie Cir Jonesboro AR 72401-5355 |
| Mailing Address |
225 E Washington Ave Jonesboro AR 72401-3111 |
| Practice Telephone | 8709728816 |
| Practice Fax Number | 8709729681 |
| Mailing Telephone | 8702074100 |
| Mailing Fax Number | 8709745112 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-07-08 |
| Authorized Official Name | CHRIS BARBER (CEO) |
| Authorized Official Telephone | 8709724429 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST BERNARDS MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | AR3324 | AR | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 101807514 | 05 | |
| AR | 130811732 | 05 |
| Other Name | Type Code |
|---|---|
| St Bernards Home Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023117322 | St Bernards Hospital Inc | General Acute Care Hospital | 900 W Monroe Ave, Jonesboro, AR 72401-2651 | 2006-09-22 |
| 1043232812 | St Bernards Hospital Inc | Clinic/Center | 310 Falls Blvd S, Wynne, AR 72396-3013 | 2006-07-24 |
| 1922043686 | St Bernards Hospital Inc | General Acute Care Hospital | 225 E Washington Ave, Jonesboro, AR 72401-3111 | 2006-06-18 |
| 1831255397 | St Bernards Hospital Inc | General Acute Care Hospital | 225 E Washington Ave, Jonesboro, AR 72401-3111 | 2006-12-29 |
| 1932204344 | St Bernards Hospital Inc | Psychiatric Hospital | 2712 E Johnson Ave, Jonesboro, AR 72401-1874 | 2006-09-13 |
| 1336150374 | St Bernards Hospital Inc | General Acute Care Hospital | 225 E Washington Ave, Jonesboro, AR 72401-3111 | 2006-08-11 |
| 1134141906 | St Bernards Hospital Inc | Clinic/Center | 225 E Washington Ave, Jonesboro, AR 72401-3111 | 2006-07-24 |
| 1497784029 | St Bernards Hospital Inc | Skilled Nursing Facility | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2006-07-03 |
| Street Address |
1726 MARIE CIR |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-5355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538197389 | St Bernards Hospital, Inc. | Hospice Care, Community Based | 1726 Marie Cir, Jonesboro, AR 72401-5355 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| 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. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
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| 1922658186 | Integrity Garden Home Care LLC | Home Health | 2763 Highway 138 E Ste A, Jonesboro, GA 30236-2763 | 2019-09-18 |
| 1336799287 | Business Management Consultants, LLC | Home Health | 409 Arrowhead Blvd Ste C1-c2, Jonesboro, GA 30236-1255 | 2019-09-12 |
| 1528548245 | Kings Serving Hearts Inc | Home Health | 198 N Mcdonough St, Jonesboro, GA 30236-3665 | 2018-08-21 |
| 1366969636 | K&p Gentle Hnads Homecare | Home Health | 772 Pointe South Pkwy, Apt. 501, Jonesboro, GA 30238 | 2017-08-27 |
| 1386165827 | M & S Exams On The Go | Home Health | 669 Marsh Ct, Jonesboro, GA 30238-4516 | 2017-07-06 |
| 1750822755 | Elite1st Homehealthcare | Home Health | 8847 Channing Dr, Jonesboro, GA 30238-4721 | 2017-03-10 |
| 1629447263 | Jonesboro Elite Healthcare Agency | Home Health | 184 North Ave Ste 105, Jonesboro, GA 30236-3291 | 2015-09-24 |
| 1770918344 | Nuvision Healthcare Services | Home Health | 2191 Mount Zion Rd, Jonesboro, GA 30236-2525 | 2013-09-13 |
| Find all providers in JONESBORO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.