ARKANSAS 1ST CLASS CONSUMER DIRECTED SERVICES LLC


Address: 825 E Main St Ste I, Blytheville, AR 72315-2599
Phone: 5733910570

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 253Z00000X In Home Supportive Care Agencies

Other Provider Identifier

State Issuer Identifier Type Code
AR VA 000000000 01
AR 000000000 05

Office Location

Street Address 825 E MAIN ST STE I
City BLYTHEVILLE
State AR
Zip Code 72315-2599

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 253Z00000X
Grouping Agencies
Classification In Home Supportive Care

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962009894 Tiffany Rochell Edmondson In Home Supportive Care 825 E Main St, Blytheville, AR 72315-2521 2020-10-04

Providers in the same taxonomy and state

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
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Competitor

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City BLYTHEVILLE
Zip Code 72315

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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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