DIERKSEN OF TEXARKANA ARKANSAS LLC (NPI# 1104088632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104088632 |
| Entity Type | Organization |
| Organization Name | DIERKSEN OF TEXARKANA ARKANSAS LLC |
| Other Organization Name | DIERKSEN MEMORIAL HOSPICE |
| Practice Address |
4613 Parkway Dr Ste 20 Texarkana AR 71854 |
| Mailing Address |
500 Faulconer Dr Ste 200 Charlottesville VA 22903-5089 |
| Practice Telephone | 8707734353 |
| Mailing Telephone | 4349779711 |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2020-01-09 |
| Authorized Official Name | JOHN HUNTER (PRESIDENT & CEO) |
| Authorized Official Telephone | 4349779711 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | AR 4279 | AR | Agencies |
| Other Name | Type Code |
|---|---|
| Dierksen Memorial Hospice | Doing Business As Name - Organization |
| Street Address |
4613 PARKWAY DR STE 20 |
| City | TEXARKANA |
| State | AR |
| Zip Code | 71854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962988253 | Holly Renee Snipe | Registered Nurse | 4700 Sunbury Dr, Texarkana, AR 71854 | 2018-07-19 |
| 1023500634 | Carlotta A Powell | Counselor | 7000 N Stateline Ave, Texarkana, AR 71854 | 2018-05-31 |
| 1326538810 | Chad Roldan | Occupational Therapy Assistant | 6402 Countryside Dr, Texarkana, AR 71854 | 2018-05-10 |
| 1649797481 | Alliance Counseling Agency LLC | Community/Behavioral Health | 819 Beech St, Texarkana, AR 71854 | 2017-08-23 |
| 1366971467 | Kimberly Dian Cox | Case Manager/Care Coordinator | 7000 North Stateline Ave, Texarkana, AR 71854 | 2017-06-12 |
| 1295260040 | Seniors for Senior Care | Adult Companion | 4613 Parkway Dr., Texarkana, AR 71854 | 2017-04-28 |
| 1033650635 | Texarkana Eye Associates | Optometrist | 114 East 49th St, Texarkana, AR 71854 | 2017-03-15 |
| 1881064731 | Texarkana Group, P.l.l.c | Chiropractor | 2100 N. State Line Ave., Texarkana, AR 71854 | 2015-10-05 |
| 1528301819 | Megan Guercio | Specialist/Technologist | 1002 East 35th Street, Texarkana, AR 71854 | 2013-04-04 |
| 1831439116 | James Wesley Mcraven | Nurse Practitioner | 210 N. Stateline, Suite 301, Texarkana, AR 71854 | 2013-02-22 |
| Find all providers in zip 71854 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831746288 | Dignity and Poise Hospice, Inc. | Hospice Care, Community Based | 1359 Oakridge Dr, Texarkana, TX 75503-9603 | 2019-08-21 |
| 1649726464 | Encompass Home Health of East Texas, LLC | Hospice Care, Community Based | 3809 E 9th St Ste 10, Texarkana, AR 71854-5805 | 2016-08-31 |
| 1457807273 | Encompass Home Health of East Texas, LLC | Hospice Care, Community Based | 2900 Saint Michael Dr Ste 400b, Texarkana, TX 75503-5211 | 2016-08-31 |
| 1003266040 | Kah Development 4, LLC | Hospice Care, Community Based | 210 N State Line Ave Ste 502, Texarkana, AR 71854-5912 | 2016-06-21 |
| 1366587545 | Hospice Care of Texas LLP | Hospice Care, Community Based | 5520 Plaza Dr, Texarkana, TX 75503-1663 | 2007-02-21 |
| 1770538670 | Sotto International, Inc. | Hospice Care, Community Based | 210 North State Line, Suite 301, Texarkana, AR 71854-4650 | 2006-05-23 |
| 1306898440 | Sotto International, Inc. | Hospice Care, Community Based | 5604 Summerhill Rd, Suite 3, Texarkana, TX 75503-4650 | 2006-05-17 |
| 1548268683 | Hospice of Hope | Hospice Care, Community Based | 501 E 6th St, Texarkana, AR 71854-5322 | 2005-07-12 |
| 1336147669 | Hospice of Texarkana, Inc. | Hospice Care, Community Based | 2407 Galleria Oaks Dr, Texarkana, TX 75503-4676 | 2005-07-11 |
| 1487057733 | Serenity Hospice | Hospice Care, Community Based | 210 N State Line Ave, Texarkana, AR 71854-5933 | 2014-10-01 |
| Find all providers in TEXARKANA | ||||
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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.