M-PACTING YOUTH AND FAMILIES INC (NPI# 1346803988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346803988 |
Entity Type | Organization |
Organization Name | M-PACTING YOUTH AND FAMILIES INC |
Practice Address |
4001 Cobb St Little Rock AR 72204-7444 |
Mailing Address |
Po Box 55743 Little Rock AR 72215-5743 |
Practice Telephone | 5015417452 |
Mailing Telephone | 5015417452 |
Enumeration Date | 2019-04-18 |
Last Update Date | 2019-04-18 |
Authorized Official Name | CLAY BLAIR (DIRECTOR) |
Authorized Official Telephone | 5015417452 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
N | 172V00000X | Community Health Worker | Other Service Providers | ||
N | 251E00000X | Home Health | Agencies | ||
N | 251S00000X | Community/Behavioral Health | Agencies | ||
N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
Street Address |
4001 COBB ST |
City | LITTLE ROCK |
State | AR |
Zip Code | 72204-7444 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669952966 | Shane Wilson | Non-emergency Medical Transport (VAN) | 1522 S Tyler St, Little Rock, AR 72204 | 2018-08-16 |
1659858348 | Poplar Grove Operations LLC | Skilled Nursing Facility | 7801 Kanis Road, Little Rock, AR 72204 | 2018-07-25 |
1275056004 | University of Arkansas for Medical Sciences | Orthopaedic Surgery | 108015 Colonel Glenn Rd, Little Rock, AR 72204 | 2017-07-24 |
1265954820 | Marilyn Marie Lynch | Registered Nurse | 7723 Colonel Glenn Road, Little Rock, AR 72204 | 2017-07-14 |
1962852954 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1122 S. University Ave, Little Rock, AR 72204 | 2016-06-21 |
1841607751 | Charity Gillespie | Registered Nurse | 5210 Timberland Dr, Little Rock, AR 72204 | 2014-07-14 |
1043625221 | Interventional Surgery Institute of Little Rock, LLC | Clinic/Center | 9 Freeway Drive, Suite A, Little Rock, AR 72204 | 2014-06-25 |
1548696065 | Jamie Washington | Prosthetic/Orthotic Supplier | 4701 Westwood Ave, Little Rock, AR 72204 | 2013-09-16 |
1124468913 | Stephanie Rachelle Jez | Genetic Counselor, MS | 5800 West 10th Street, Freeway Medical Building, Suite 7-500, Little Rock, AR 72204 | 2013-06-26 |
1336492321 | Alton Charles Phillips Sr. | Counselor | 4400shuffield Drive, Little Rock, AR 72204 | 2012-10-16 |
Find all providers in zip 72204 |
Taxonomy Code | 251C00000X |
Grouping | Agencies |
Classification | Day Training, Developmentally Disabled Services |
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225667082 | Hannah Nicole Montgomery | Day Training, Developmentally Disabled Services | 1525 Merrill Dr, Little Rock, AR 72211-1821 | 2020-04-03 |
1184831372 | Kimberly Nicole Feuers | Day Training, Developmentally Disabled Services | 202 Thayer St, Little Rock, AR 72205-5954 | 2007-05-17 |
1063629244 | Lenee Nicole Rainey | Day Training, Developmentally Disabled Services | 9400 Stagecoach Rd, 1311, Little Rock, AR 72210-7059 | 2007-05-17 |
1063634285 | The Arc Arkansas | Day Training, Developmentally Disabled Services | 2004 S. Main Street, Little Rock, AR 72206 | 2007-05-03 |
1558492355 | Integrity, Inc | Day Training, Developmentally Disabled Services | 6124 Northmoor Dr, Little Rock, AR 72204-2504 | 2007-03-07 |
1962547745 | Independent Case Management, Inc. | Day Training, Developmentally Disabled Services | 13310 Kanis Rd, Little Rock, AR 72211-4008 | 2007-02-20 |
1295790103 | Little Rock Home Health Agency Inc | Day Training, Developmentally Disabled Services | 11524 N Rodney Parham Rd, #1, Little Rock, AR 72212-4187 | 2006-04-20 |
1942853783 | Francis A. Allen School for Exceptional Children, Inc. | Day Training, Developmentally Disabled Services | 824 N Tyler St, Little Rock, AR 72205-3535 | 2019-07-22 |
1639396146 | Developmental Resources Management, Inc. | Day Training, Developmentally Disabled Services | 221 W 2nd St, Suite 522, Little Rock, AR 72201-2501 | 2007-04-19 |
1124141452 | United Cerebral Palsy of Arkansas | Day Training, Developmentally Disabled Services | 9720 N Rodney Parham Rd, Little Rock, AR 72227-6212 | 2007-04-10 |
Find all providers in LITTLE ROCK |
City | LITTLE ROCK |
Zip Code | 72204 |
Please comment or provide details below to improve the information on M-PACTING YOUTH AND FAMILIES INC.
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.