STATE OF ARKANSAS (NPI# 1023236163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023236163 |
Entity Type | Organization |
Organization Name | STATE OF ARKANSAS |
Other Organization Name | SOUTHEAST ARKANSAS HUMAN DEVELOPMENT CENTER |
Practice Address |
1 Center Cir Warren AR 71671-3033 |
Practice Telephone | 8702266774 |
Practice Fax Number | 8702265361 |
Mailing Telephone | 8702266774 |
Mailing Fax Number | 8702265361 |
Enumeration Date | 2007-04-23 |
Last Update Date | 2008-06-25 |
Authorized Official Name | MRS. JUDY ADAMS (SUPERINTENDENT) |
Authorized Official Telephone | 8702266774 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
Other Name | Type Code |
---|---|
Southeast Arkansas Human Development Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689117756 | State of Arkansas | Skilled Nursing Facility | 2401 John Ashley Drive, Building #100, North Little Rock, AR 72114 | 2016-11-22 |
1477672608 | State of Arkansas | Case Management | 5800 W 10th St Ste 300, Arkansas Dhhs, Little Rock, AR 72204-1764 | 2007-03-28 |
1801928627 | State of Arkansas | Intermediate Care Facility, Mentally Retarded | 87 Reed Rd, Highway 116 South, Booneville, AR 72927 | 2007-03-09 |
1407988355 | State of Arkansas | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Prator Drive, Arkadelphia, AR 71923 | 2007-03-09 |
1487781027 | State of Arkansas | Intermediate Care Facility, Mentally Retarded | 14701 Highway 111, Alexander, AR 72002-1742 | 2007-02-28 |
1386770030 | State of Arkansas | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4701 Colony Dr, Jonesboro, AR 72404-9317 | 2007-02-26 |
1093840282 | State of Arkansas | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 150 Siebenmorgen Rd, Conway, AR 72032 | 2007-02-21 |
1417052895 | State of Arkansas | Skilled Nursing Facility | 1179 N. College Avenue, Fayetteville, AR 72703 | 2006-09-13 |
1912014192 | State of Arkansas | Home Health | # 22 Sherwood Plaza, Johnson County Health Unit, Clarksville, AR 72830-4337 | 2006-08-24 |
1649280694 | State of Arkansas | Home Health | 100 E 20th, Suite E & F Hempstead County Health Unit, Hope, AR 71801-8213 | 2006-08-09 |
Street Address |
1 CENTER CIR |
City | WARREN |
State | AR |
Zip Code | 71671-3033 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992116396 | Bradley Newton Biggers | Family Medicine | 304 E Central St., Warren, AR 71671 | 2014-05-19 |
1558602003 | Kelley M Hollingsworth | Licensed Practical Nurse | 1404 East Church Street, Warren, AR 71671 | 2013-03-08 |
1245516228 | Lauren Lynch | Pharmacist | 507 W Pine, Warren, AR 71671 | 2011-10-22 |
1114237062 | Gary Maskell | Chiropractor | 210 East Shields Street, Warren, AR 71671 | 2010-10-13 |
1841442811 | Wagnon Place Health Facilities | Skilled Nursing Facility | 1440 East Church Street, Warren, AR 71671 | 2008-10-21 |
1104953629 | Kathryn Kelly Cash | Speech-Language Pathologist | 206 Bragg St., Warren, AR 71671 | 2007-02-28 |
1477628352 | University of Arkansas for Medical Sciences | Pediatrics | 222 E Central St, Warren, AR 71671 | 2006-11-23 |
1649383514 | Karen Walker | Social Worker | 1404 E Church, Warren, AR 71671 | 2006-08-16 |
1699705178 | Rosemary Bell | Licensed Practical Nurse | 1404 E Church St, Warren, AR 71671 | 2006-07-03 |
1992348551 | Charles C Gibson | Case Manager/Care Coordinator | 1404 E Church St, Warren, AR 71671 | 2019-10-25 |
Find all providers in zip 71671 |
Taxonomy Code | 320600000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366501603 | Riverwood Mental Health Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 25 Railroad Ave, Warren, RI 02885-3206 | 2006-12-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679701775 | Chucks Developemental Outreach Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2300 Ouachita 4, Stephens, AR 71764-9196 | 2009-06-26 |
1801024997 | D&j Early Learning&deveopmental Center Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2302 Ouachita 4, Stephens, AR 71764-9196 | 2009-06-26 |
1881822971 | Drews Early Learning Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1100 Rbl Estate Rd, Pine Bluff, AR 71603-9272 | 2009-06-26 |
1548477268 | Branmat Corporation | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4100 Heritage Dr, North Little Rock, AR 72117-2522 | 2007-05-16 |
1184848202 | Cedar Ridge, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 107 Thicksten Dr, Alma, AR 72921 | 2007-04-12 |
1386770030 | State of Arkansas | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4701 Colony Dr, Jonesboro, AR 72404-9317 | 2007-02-26 |
1093840282 | State of Arkansas | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 150 Siebenmorgen Rd, Conway, AR 72032 | 2007-02-21 |
1619911450 | Easy K Foundation, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Hc 80 Box 1130, Sage, AR 72573-9535 | 2006-06-15 |
1851916738 | Community Living Arrangements | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 714 W Grove St, El Dorado, AR 71730-4416 | 2020-06-16 |
1972638609 | Arkansas Easter Seals Arkansas | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3920 Woodland Heights Rd, Little Rock, AR 72212-2495 | 2007-02-22 |
Find all providers with the same taxonomy |
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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.