STATE OF ARKANSAS


Address: 1 Center Cir, Warren, AR 71671-3033
Phone: 8702266774

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).

Provider Overview

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

Taxonomy

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 Provider/Organization Names

Other Name Type Code
Southeast Arkansas Human Development Center Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 1 CENTER CIR
City WARREN
State AR
Zip Code 71671-3033

Providers in the same zip code

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 Information

Taxonomy Code 320600000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City WARREN
Zip Code 71671

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Dataset Information

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.

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