INTREPID OF THE OZARKS, INC. (NPI# 1073595625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073595625 |
| Entity Type | Organization |
| Organization Name | INTREPID OF THE OZARKS, INC. |
| Other Organization Name | INTREPID USA HEALTHCARE SERVICES |
| Practice Address |
109 9th Street Bldg 1 Mccrory AR 72101-0365 |
| Mailing Address |
3220 Keller Springs Rd Ste 108 Carrollton TX 75006-5911 |
| Practice Telephone | 8707315441 |
| Practice Fax Number | 8707312613 |
| Mailing Telephone | 2144453750 |
| Mailing Fax Number | 2144453902 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2020-03-13 |
| Authorized Official Name | PAUL M MCMULLEN (COO) |
| Authorized Official Telephone | 2144453750 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | AR4685 | AR | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 154694514 | 05 |
| Other Name | Type Code |
|---|---|
| Intrepid USA Healthcare Services | Doing Business As Name - Organization |
| Street Address |
109 9TH STREET BLDG 1 |
| City | MCCRORY |
| State | AR |
| Zip Code | 72101-0365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255989588 | Amanda Marie Austin | Registered Nurse | 801 North Edmonds, 801 North Edmonds, Mccrory, AR 72101 | 2019-08-29 |
| 1225339682 | Marty J Lute | Pharmacist | 306 East 3rd Street, Mccrory, AR 72101 | 2010-11-16 |
| 1316155815 | Lane Eye Care Center, P.a. | Optometrist | 119 E Second St, Mccrory, AR 72101 | 2007-05-18 |
| 1124179932 | Mccrory School District | Local Education Agency (LEA) | 509 North Jackson, Mccrory, AR 72101 | 2007-01-16 |
| 1972613743 | Mccrory Family Clinic Pa | Clinic/Center | 908 N Edmonds Ave, Mccrory, AR 72101 | 2006-08-30 |
| 1962415232 | Woodruff County Ambulance Service | Ambulance | 106 North Edmonds Ave, Mccrory, AR 72101 | 2006-08-15 |
| 1407812803 | Rita K Allbright | Family Medicine | 801 N Edmond, Mccrory, AR 72101 | 2006-04-25 |
| 1255887550 | Rebecca Jane O'shields | Nurse Practitioner | 908 N Edmonds Ave, Mc Crory, AR 72101 | 2016-08-28 |
| 1023024817 | Best Drug Store Inc | Pharmacist | 906 N Edmonds, Mccrory, AR 72101-0368 | 2006-07-31 |
| 1265530984 | Fred Eugene Wilson | Clinic/Center | 908 North Edmonds, Mc Crory, AR 72101-0780 | 2006-09-20 |
| Find all providers in zip 72101 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528670130 | Home Health Care Agency of Arkansas, LLC | Home Health | 1200 John Barrow Road Suite #111, Little Rock, AR 72205-6528 | 2020-08-17 |
| 1316557127 | Voices of Healthcare | Home Health | 3700 S Caraway Rd Apt K07, Jonesboro, AR 72404-9537 | 2020-08-06 |
| 1093325334 | Clararose Home Care | Home Health | 802 Parrish St, Jacksonville, AR 72076-2720 | 2020-08-02 |
| 1447876024 | Jabez Community Resource Center | Home Health | 2910 Dickson St, West Memphis, AR 72301-3638 | 2020-06-19 |
| 1912521295 | Thrive Pediatric Nursing Inc | Home Health | 808 Reservoir Rd Ste A, Little Rock, AR 72227-5729 | 2020-06-03 |
| 1124651153 | Lareco Walker Sr. | Home Health | 1907 Hwy 5 N Apt 1010, Benton, AR 72019-6733 | 2020-02-18 |
| 1518500495 | Quality Senior Care, Inc. | Home Health | 17724 I 30 Ste 5, Benton, AR 72019-2961 | 2019-10-23 |
| 1659912376 | Diamond Personal Care, Ll | Home Health | 25 Macarthur Dr, Conway, AR 72032-4510 | 2019-10-03 |
| 1427607837 | Leyia Staffing Agency LLC | Home Health | 309 N 6th St Ste 3, West Memphis, AR 72301-3294 | 2019-09-09 |
| 1497317820 | 1 To 1 Home Care Services | Home Health | 1200 Westpark Dr Ste 202, Little Rock, AR 72204-2487 | 2019-07-06 |
| 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.