ARKANSAS SUPPORT NETWORK, INC (NPI# 1023663630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023663630 |
Entity Type | Organization |
Organization Name | ARKANSAS SUPPORT NETWORK, INC |
Practice Address |
6836 Issacs Orchard Rd Springdale AR 72762-6096 |
Practice Telephone | 4799274100 |
Practice Fax Number | 4799274101 |
Mailing Telephone | 4799274100 |
Mailing Fax Number | 4799274101 |
Enumeration Date | 2019-08-09 |
Last Update Date | 2019-08-09 |
Authorized Official Name | MR. DANIEL M MARINO (CFO/DIRECTOR OF HR) |
Authorized Official Telephone | 4799274100 |
Authorized Official Credential | CPA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | DDS/FAMILTY SUPPORT | 132624786 | 01 |
AR | ARKANSAS AUTISM PROGRAM | 194931706 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720601412 | Arkansas Support Network, Inc | Case Management | 6836 Isaac's Orchard Rd, Springdale, AR 72762-6096 | 2020-05-28 |
Street Address |
6836 ISSACS ORCHARD RD |
City | SPRINGDALE |
State | AR |
Zip Code | 72762-6096 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144846494 | Blanca E Estevez | Behavior Technician | 6836 Issacs Orchard Rd, Springdale, AR 72762 | 2020-06-23 |
1164071049 | Jasmine R Welch-beardsley | Behavioral Analyst | 6836 Issacs Orchard Rd, Springdale, AR 72762-6096 | 2019-09-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861013443 | Samantha G Abbey | Behavior Technician | 6836 Issac's Orchard Rd, Springdale, AR 72762 | 2020-05-05 |
1598393605 | Highlands Oncology Group Pa | Pharmacy | 3901 Parkway Circle, Springdale, AR 72762 | 2020-04-01 |
1366922320 | Mercy Northwest Arkansas Ambulatory Services LLC | Clinic/Center | 4962 Elm Springs Road, Suite 5, Springdale, AR 72762 | 2018-08-20 |
1790281087 | Cheryl Nikol Treat | Nurse Practitioner | 6801 Isaacs Orchard Rd Ste 211, Springdale, AR 72762 | 2018-04-04 |
1902304876 | Northwest Arkansas Physical Ability Testing Center, P.a. | Clinic/Center | 4001 Wagon Wheel Road, Springdale, AR 72762 | 2018-01-25 |
1609387612 | Rodriguez Dentistry Pllc | Dentist | 1521 Executive Place, Suite A, Springdale, AR 72762 | 2017-10-17 |
1306370630 | Medworks LLC | Internal Medicine | 986 Elmwood, Suite C, Springdale, AR 72762 | 2017-04-13 |
1790223006 | Sam's West, Inc. | Technician/Technologist | 1517 Gene George Blvd, Springdale, AR 72762 | 2017-02-07 |
1255875746 | Arkansas Childrens Northwest, Inc. | General Acute Care Hospital | 2601 South 56th Street, Springdale, AR 72762 | 2016-12-19 |
1114473261 | Whitney E Mix | Counselor | 1672 South 48th Street, Suite B, Springdale, AR 72762 | 2016-08-29 |
Find all providers in zip 72762 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851903884 | Conway County Community Service Inc. | Community/Behavioral Health | 616 E. Emma Avenue, Suite 244, Springdale, AR 72764 | 2020-08-20 |
1437557899 | Springdale Treatment Center | Community/Behavioral Health | 1353 E Henri De Tonti Blvd Ste A, Springdale, AR 72762-7805 | 2014-12-16 |
1851585806 | Ena, Inc. | Community/Behavioral Health | 11490 Springfield Pike, Springdale, OH 45246-3524 | 2007-09-04 |
1952470528 | Dayspring Services of Arkansas L.L.C. | Community/Behavioral Health | 5537 Bleaux Ave, Springdale, AR 72762-0737 | 2006-11-07 |
1164503579 | Monson Counseling Pllc | Community/Behavioral Health | 6801 Isaacs Orchard Rd, Springdale, AR 72762-6545 | 2006-10-18 |
1942676671 | The Gibbs Group, LLC | Community/Behavioral Health | 260 Northland Blvd, Suite 305a, Springdale, OH 45246-4917 | 2015-08-17 |
1609002005 | Preferred Family Healthcare Inc | Community/Behavioral Health | 750 Mathias Dr, Springdale, AR 72762-0741 | 2009-06-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003437740 | Centers for Youth and Families, Inc. | Community/Behavioral Health | 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 | 2020-05-05 |
1275175275 | Willow Springs Counseling | Community/Behavioral Health | 204 N Front St Ste A, Dardanelle, AR 72834-3843 | 2019-10-10 |
1972163434 | Baby Byrd, Pllc | Community/Behavioral Health | 10515 W Markham St Ste I2, Little Rock, AR 72205-2283 | 2019-06-17 |
1346808474 | Amy Burns, Lpc, Inc | Community/Behavioral Health | 101 W Main St Ste 200, El Dorado, AR 71730-5654 | 2019-06-04 |
1255994158 | Conway County Community Service Inc. | Community/Behavioral Health | 200 S Peabody Ave, Mountain View, AR 72560-6311 | 2019-04-16 |
1134685225 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 807 W Main St Ste A&b, Trumann, AR 72472-2611 | 2019-02-14 |
1891263091 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 623 N 9th St Ste 200, Augusta, AR 72006-2103 | 2018-11-06 |
1821564436 | Bokker Enterprises, Inc. | Community/Behavioral Health | 115 Turner Lane, Ste #2, Salem, AR 72576 | 2018-10-22 |
1528549417 | Bright Horizons Counseling | Community/Behavioral Health | 807 S 24th St, Arkadelphia, AR 71923-5627 | 2018-08-28 |
1568943140 | Real Development Corporation | Community/Behavioral Health | 1310 W Main St Ste 201, Russellville, AR 72801-2803 | 2018-08-22 |
Find all providers with the same taxonomy |
City | SPRINGDALE |
Zip Code | 72762 |
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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.