AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC (NPI# 1508823113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508823113 |
Entity Type | Organization |
Organization Name | AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC |
Practice Address |
500 S Division St Lavaca AR 72941-4126 |
Mailing Address |
524 Garrison Ave Po Box 1724 Fort Smith AR 72901-2514 |
Practice Telephone | 4796747009 |
Enumeration Date | 2006-04-27 |
Last Update Date | 2007-10-02 |
Authorized Official Name | LISA RUSHING (SUPERVISOR OF CORPORATE SERVICES) |
Authorized Official Telephone | 4797834500 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251E00000X | Home Health | 4075 | AR | Agencies |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972560050 | Area Agency On Aging of Western Arkansas, Inc | Hospice Care, Community Based | 102 Bolan Street, Hartford, AR 72938 | 2006-05-01 |
1821055195 | Area Agency On Aging of Western Arkansas, Inc | Home Health | 500 Hwy 270 East, Mount Ida, AR 71957 | 2006-04-28 |
1093772741 | Area Agency On Aging of Western Arkansas, Inc | Hospice Care, Community Based | 317 W Commercial St, Ozark, AR 72949-3107 | 2006-04-27 |
1154388999 | Area Agency On Aging of Western Arkansas, Inc | Hospice Care, Community Based | 500 S Division St, Lavaca, AR 72941-4126 | 2006-04-26 |
1609832765 | Area Agency On Aging of Western Arkansas, Inc | Home Health | 42 Town Sq, Greenwood, AR 72936-3200 | 2006-04-25 |
1912963075 | Area Agency On Aging of Western Arkansas, Inc | Home Health | 600 7th St, Mena, AR 71953-3205 | 2006-04-25 |
1164488318 | Area Agency On Aging of Western Arkansas, Inc | Home Health | 333 S 1st St, Paris, AR 72855-4453 | 2006-04-25 |
1346206653 | Area Agency On Aging of Western Arkansas, Inc | Home Health | 398 School Ave, Winslow, AR 72959-2946 | 2006-04-25 |
1740246966 | Area Agency On Aging of Western Arkansas, Inc | Home Health | 257 Airport Road, Suite D, Ozark, AR 72949-9266 | 2006-04-25 |
1255397311 | Area Agency On Aging of Western Arkansas, Inc | Home Health | 1579 Clyde Hawkins Dr, Waldron, AR 72958-8972 | 2006-04-25 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC. | 524 Garrison Ave, Fort Smith, AR 72901-2507 |
Oklahoma Business Registrations | AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC. | 115 N 10th St Ste H119, Ft Smith, AR 72903 |
Street Address |
500 S DIVISION ST |
City | LAVACA |
State | AR |
Zip Code | 72941-4126 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154388999 | Area Agency On Aging of Western Arkansas, Inc | Hospice Care, Community Based | 500 S Division St, Lavaca, AR 72941-4126 | 2006-04-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265804389 | Cynthia Leach | Social Worker | 604 Tiffany Drive, Lavaca, AR 72941 | 2015-10-28 |
1154725067 | Health-wise Pharmacy, Pllc | Pharmacy | 1800 West Main, Lavaca, AR 72941 | 2014-10-21 |
1215065974 | Lavaca School District | Local Education Agency (LEA) | 203 Fir Street, Lavaca, AR 72941 | 2007-03-02 |
1932188216 | Robert E. Sanders | Internal Medicine | 603 S Division St, Suite A, Lavaca, AR 72941 | 2006-01-13 |
1245838580 | Ciara Fleer | Occupational Therapist | 1408 Nixon Rd, Lavaca, AR 72941-3116 | 2020-10-09 |
1407024045 | Lavaca Family Clinic | Clinic/Center | 1000 W Main St, Lavaca, AR 72941-3530 | 2008-02-18 |
1902452345 | River Valley Primary Care Services | Clinic/Center | 603 S Division St, Lavaca, AR 72941-4129 | 2019-08-12 |
1821390287 | Lavaca Wellness Clinic, P.a. | Clinic/Center | 603 S Division St, Lavaca, AR 72941-4129 | 2010-11-17 |
1780990408 | Kelly Jo Hubbard | Nurse Practitioner | 603 S Division St, Lavaca, AR 72941-4129 | 2010-08-19 |
1275774440 | Jonathan Rene Broniste | Nurse Practitioner | 603 S Division St, Lavaca, AR 72941-4129 | 2009-03-17 |
Find all providers in zip 72941 |
Taxonomy Code | 251E00000X |
Grouping | Agencies |
Classification | Home Health |
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
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1518500495 | Quality Senior Care, Inc. | Home Health | 17724 I 30 Ste 5, Benton, AR 72019-2961 | 2019-10-23 |
1659912376 | Diamond Personal Care, Ll | Home Health | 25 Macarthur Dr, Conway, AR 72032-4510 | 2019-10-03 |
1427607837 | Leyia Staffing Agency LLC | Home Health | 309 N 6th St Ste 3, West Memphis, AR 72301-3294 | 2019-09-09 |
1497317820 | 1 To 1 Home Care Services | Home Health | 1200 Westpark Dr Ste 202, Little Rock, AR 72204-2487 | 2019-07-06 |
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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.