PHILLIPS COUNTY DEVELOPMENTAL CENTER (NPI# 1508079831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508079831 |
| Entity Type | Organization |
| Organization Name | PHILLIPS COUNTY DEVELOPMENTAL CENTER |
| Practice Address |
1221 W Highway 49 West Helena AR 72390-1716 |
| Practice Telephone | 8705723417 |
| Practice Fax Number | 8705722653 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | HENRIETTA WILSON (DIRECTOR) |
| Authorized Official Telephone | 8705723417 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities | ||
| X | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| X | 347B00000X | Bus | Transportation Services |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780861625 | Phillips County Developmental Center | Day Training, Developmentally Disabled Services | 106 S Third, West Helena, AR 72390-2901 | 2008-01-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PHILLIPS COUNTY DEVELOPMENTAL CENTER | 1221 W Hwy 49, West Helena, AR 72390-1716 |
| Street Address |
1221 W HIGHWAY 49 |
| City | WEST HELENA |
| State | AR |
| Zip Code | 72390-1716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336351287 | Elizabeth Chiley Bartlett | Speech-Language Pathologist | 1221 W Highway 49, West Helena, AR 72390-1716 | 2007-05-04 |
| 1295270163 | Emola Clemons | Specialist/Technologist | 1221 W Highway 49, West Helena, AR 72390-1716 | 2016-12-30 |
| 1073761714 | Akbar Somani | Physical Therapy Assistant | 1221 W Highway 49, West Helena, AR 72390-1716 | 2008-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184911471 | Hra | Exclusive Provider Organization | 2426 Hwy 49, West Helena, AR 72390 | 2011-07-07 |
| 1417037383 | Dorothy L. Jones-michel | Nurse Practitioner | 110 Shirley Hicks/hwy 49, West Helena, AR 72390 | 2006-10-16 |
| 1134730005 | Lauren Reeves | Nurse Practitioner | 1393 Highway 242 South, West Helena, AR 72390 | 2020-08-13 |
| 1215015615 | Quality Respiratory Care Inc | Durable Medical Equipment & Medical Supplies | 1239 W Highway 49, West Helena, AR 72390-1716 | 2006-11-02 |
| 1952619306 | John Burt Ragland | Pharmacist | 826 N Sebastian, West Helena, AR 72390-1821 | 2010-09-20 |
| 1255416244 | Elaine Pharmacy Inc | Pharmacist | 806 N Sebastian, West Helena, AR 72390-1821 | 2006-10-26 |
| 1992142640 | Johnny Lynn Porter | Pharmacist | 826 N Sebastian, West Helena, AR 72390-1821 | 2013-06-03 |
| 1073794020 | Elaine Pharmacy | Durable Medical Equipment & Medical Supplies | 806 N Sebastian, West Helena, AR 72390-1821 | 2007-11-19 |
| 1841415460 | Elaine Pharmacy Inc | Pharmacy | 806 N Sebastian, West Helena, AR 72390-1821 | 2007-04-17 |
| 1407888431 | Freds Stores of Tennessee Inc | Pharmacy | 826 N Sebastian, West Helena, AR 72390-1821 | 2006-07-07 |
| Find all providers in zip 72390 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162863 | Kb's Adult Health Day Care Center | Clinic/Center | 2911 South Market Street, Pine Bluff, AR 71601 | 2020-10-19 |
| 1407489081 | Katherine Bolden | Clinic/Center | 2911 East Market Street, Pine Bluff, AR 71601 | 2020-02-21 |
| 1558910224 | Katherine's Little Angels Adult Care Center | Clinic/Center | 2006 W 27th Ave, Pine Bluff, AR 71603-5182 | 2019-09-05 |
| 1639725187 | Jessica Polaris | Clinic/Center | 7600 S University Ave Ste 10, Little Rock, AR 72209-3733 | 2019-08-12 |
| 1164878930 | Unity Adult Care Center Inc | Clinic/Center | 223 Locust St, Conway, AR 72034-6528 | 2016-05-10 |
| 1811385602 | Pa and Associates LLC | Clinic/Center | 100 Shadow Oaks Dr, Sherwood, AR 72120-6046 | 2014-12-31 |
| 1831384668 | Redeem Adult Day Healthcare | Clinic/Center | 1604 Brentwood Dr, Pine Bluff, AR 71601-6822 | 2007-09-14 |
| 1942404975 | Goldencare Adhc, Inc | Clinic/Center | 1508 B Hwy 62 412, Highland, AR 72542 | 2007-06-13 |
| 1588872469 | Amail Chudy | Clinic/Center | 1723 Schaer St, North Little Rock, AR 72114-3365 | 2007-05-21 |
| 1639162837 | Golden Years Adult Daycare Center, Inc. | Clinic/Center | 408 Hazel St, Texarkana, AR 71854-5215 | 2005-08-24 |
| Find all providers with the same taxonomy | ||||
| City | WEST HELENA |
| Zip Code | 72390 |
Please comment or provide details below to improve the information on PHILLIPS COUNTY DEVELOPMENTAL CENTER.
| 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.