ARKANSAS 1ST CLASS CONSUMER DIRECTED SERVICES LLC (NPI# 1134727613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134727613 |
Entity Type | Organization |
Organization Name | ARKANSAS 1ST CLASS CONSUMER DIRECTED SERVICES LLC |
Practice Address |
825 E Main St Ste I Blytheville AR 72315-2599 |
Practice Telephone | 5733910570 |
Mailing Telephone | 5733910570 |
Enumeration Date | 2020-10-15 |
Last Update Date | 2020-10-15 |
Authorized Official Name | TIFFANY ROCHELL EDMONDSON (CEO/OWNER) |
Authorized Official Telephone | 5733910570 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 253Z00000X | In Home Supportive Care | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | VA | 000000000 | 01 |
AR | 000000000 | 05 |
Street Address |
825 E MAIN ST STE I |
City | BLYTHEVILLE |
State | AR |
Zip Code | 72315-2599 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770055923 | Gosnell Drugs Inc. | Pharmacy | 134 Bevill Ave, Gosnell, AR 72315 | 2018-12-28 |
1770938441 | Kay Chan Powell | Optometrist | 527 N6th St, Ste A, Blythevile, AR 72315 | 2016-04-29 |
1124417142 | Victoria Jacoby | Nurse Practitioner | 1521 N. 10th Street, Suite A, Blytheville, AR 72315 | 2015-01-14 |
1154736635 | Hanna Kirk | Case Manager/Care Coordinator | 829 East Main St, Blytheville, AR 72315 | 2014-06-24 |
1700207909 | Hannah Browning | Speech-Language Pathologist | 4555 North State Highway 137, Blytheville, AR 72315 | 2013-12-16 |
1164859286 | Valarie Ranae Oldham | Physical Therapist | 827 E Main, Suite B, Blytheville, AR 72315 | 2013-10-03 |
1013350339 | Air Evac Ems Inc. | Ambulance | 1021 Highland Street, Blytheville, AR 72315 | 2013-04-17 |
1962707158 | Diffine Family Practice Pllc | Family Medicine | 1100 Medical Plaza Drive South, Suite C, Blytheville, AR 72315 | 2011-01-19 |
1447451984 | Diabetes Institute Inc | Durable Medical Equipment & Medical Supplies | 623 W Moultrie, Blytheville, AR 72315 | 2007-05-31 |
1043426109 | Connie Bromley | Social Worker | 514 Chickasawba, Blytheville, AR 72315 | 2007-05-15 |
Find all providers in zip 72315 |
Taxonomy Code | 253Z00000X |
Grouping | Agencies |
Classification | In Home Supportive Care |
An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962009894 | Tiffany Rochell Edmondson | In Home Supportive Care | 825 E Main St, Blytheville, AR 72315-2521 | 2020-10-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548877574 | Rest Assured Home Care LLC | In Home Supportive Care | 222 Rivendale Dr, West Fork, AR 72774-3208 | 2020-09-24 |
1366058570 | Brooke Mcdowell | In Home Supportive Care | 8321 Edmar Pl, North Little Rock, AR 72117-1576 | 2020-09-22 |
1891312781 | Tgmae Seven Services, LLC | In Home Supportive Care | 3312 Jeridon Cv, Jonesboro, AR 72404-8196 | 2020-06-26 |
1467078725 | Seek Him Enterprises LLC | In Home Supportive Care | 5552 Village Dr, Benton, AR 72019-9466 | 2020-06-23 |
1245850023 | Diamond State Personal Care, Inc. | In Home Supportive Care | 240 Skyline Dr Ste 301, Conway, AR 72032-2810 | 2020-04-21 |
1326671777 | Village Angels, Inc | In Home Supportive Care | 198 Carmona Rd Ste 12, Hot Springs Village, AR 71909-2919 | 2020-02-13 |
1679113583 | Dm Parks Inc., Dba Comfort Keepers | In Home Supportive Care | 5068 N Arkansas Ave, Russellville, AR 72802-8325 | 2020-01-08 |
1285279703 | Love & Care Home Care Services LLC | In Home Supportive Care | 229 Lonsdale Cir, Jacksonville, AR 72076-6323 | 2019-11-07 |
1609419076 | Luvenia Blair | In Home Supportive Care | 13605 Hansfield Cir, North Little Rock, AR 72117-5366 | 2019-10-17 |
1629619069 | Deborahs Heart & Care Agency, LLC | In Home Supportive Care | 2405 Raintree Dr, Bryant, AR 72022-2472 | 2019-10-07 |
Find all providers with the same taxonomy |
City | BLYTHEVILLE |
Zip Code | 72315 |
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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.