STATE OF ARKANSAS (NPI# 1598786774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598786774 |
| Entity Type | Organization |
| Organization Name | STATE OF ARKANSAS |
| Other Organization Name | VAN BUREN COUNTY HEALTH UNIT |
| Practice Address |
526 Quality Drive Van Buren County Health Unit Clinton AR 72031-0455 |
| Mailing Address |
5800 West 10th Street Suite 300 Little Rock AR 72204-1764 |
| Practice Telephone | 5017452432 |
| Practice Fax Number | 5017456868 |
| Mailing Telephone | 5016612614 |
| Mailing Fax Number | 5016612975 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2008-09-12 |
| Authorized Official Name | MARILYN EVANS (HOME HEALTH ADMINISTRATOR) |
| Authorized Official Telephone | 5016612540 |
| Authorized Official Credential | RN |
| Is Organization Subpart | Y |
| Parent Organization Name | STATE OF ARKANSAS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | AR4024 | AR | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 104312514 | 05 |
| Other Name | Type Code |
|---|---|
| Van Buren County Health Unit | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689117756 | State of Arkansas | Skilled Nursing Facility | 2401 John Ashley Drive, Building #100, North Little Rock, AR 72114 | 2016-11-22 |
| 1023236163 | State of Arkansas | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1 Center Cir, Warren, AR 71671-3033 | 2007-04-23 |
| 1477672608 | State of Arkansas | Case Management | 5800 W 10th St Ste 300, Arkansas Dhhs, Little Rock, AR 72204-1764 | 2007-03-28 |
| 1801928627 | State of Arkansas | Intermediate Care Facility, Mentally Retarded | 87 Reed Rd, Highway 116 South, Booneville, AR 72927 | 2007-03-09 |
| 1407988355 | State of Arkansas | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Prator Drive, Arkadelphia, AR 71923 | 2007-03-09 |
| 1487781027 | State of Arkansas | Intermediate Care Facility, Mentally Retarded | 14701 Highway 111, Alexander, AR 72002-1742 | 2007-02-28 |
| 1386770030 | State of Arkansas | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4701 Colony Dr, Jonesboro, AR 72404-9317 | 2007-02-26 |
| 1093840282 | State of Arkansas | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 150 Siebenmorgen Rd, Conway, AR 72032 | 2007-02-21 |
| 1417052895 | State of Arkansas | Skilled Nursing Facility | 1179 N. College Avenue, Fayetteville, AR 72703 | 2006-09-13 |
| 1912014192 | State of Arkansas | Home Health | # 22 Sherwood Plaza, Johnson County Health Unit, Clarksville, AR 72830-4337 | 2006-08-24 |
| Street Address |
526 QUALITY DRIVE VAN BUREN COUNTY HEALTH UNIT |
| City | CLINTON |
| State | AR |
| Zip Code | 72031-0455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857909 | Marinda Renee Bryan | Pharmacist | 2526 Hwy 65 S. Ste 101, Clinton, AR 72031 | 2020-10-07 |
| 1740898584 | Jamie Beavers Dds, P.a. | Dentist | 354 Main Street, Clinton, AR 72031 | 2020-07-17 |
| 1992352637 | Peggy Michelle Mann | Occupational Therapy Assistant | 765 Yellow Jacket Lane, Clinton, AR 72031 | 2019-08-19 |
| 1225518475 | Rebecca Sangi | Counselor | 244 U.S. 65, Suite 6, Clinton, AR 72031 | 2018-08-17 |
| 1437668175 | Caitlin Abiseid Shull | Nurse Practitioner | 194 Shake Rag Rd, Clinton, AR 72031 | 2017-09-26 |
| 1386048890 | Jones Family Pharmacy Inc. | Pharmacy | 1930 Hwy 65 South, Clinton, AR 72031 | 2014-10-13 |
| 1275846784 | Timeless Family Chiropractic, LLC | Chiropractor | 116 Maxwell St., Clinton, AR 72031 | 2010-07-26 |
| 1417189481 | Karen Thomas | Case Manager/Care Coordinator | 1303 Hwy 65, Suite 3, Clinton, AR 72031 | 2009-08-10 |
| 1962637082 | Conway County Community Service Inc | Community/Behavioral Health | Hwy 65, Rt. 6, Box 243, Clinton, AR 72031 | 2009-05-19 |
| 1699910596 | Dorthy D Hill | Behavioral Analyst | 1681 Hwy 65 S, Clinton, AR 72031 | 2008-12-05 |
| Find all providers in zip 72031 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790383594 | Elite Caregivers Nursing Agency LLC | Home Health | 6821 Purple Lilac Ln, Clinton, MD 20735-4087 | 2020-10-14 |
| 1356950802 | Semicare Health Services, LLC | Home Health | 312 College St Ste E, Clinton, NC 28328-4000 | 2020-07-29 |
| 1619520780 | Balanced Life Home Care Services | Home Health | 65 Old Highway 22 Ste 4, Clinton, NJ 08809-1329 | 2019-07-18 |
| 1922666148 | Tracy Denise Parsons | Home Health | 1501 Highway 80 E Apt B7, Clinton, MS 39056-5361 | 2019-06-03 |
| 1568920312 | Redemption Home Health | Home Health | 15683 Pace Rd, Clinton, LA 70722-5232 | 2019-03-11 |
| 1598221970 | Belinda Denise Carter-williams | Home Health | 1241 Gateway Ave, Apt 5, Clinton, IA 52732-3546 | 2019-02-11 |
| 1801380035 | Bowes Iowa Inc | Home Health | 83 Main Ave, Clinton, IA 52732-2321 | 2018-06-20 |
| 1598258006 | Openheaven Healthcare LLC | Home Health | 11106 Glissade Dr, Clinton, MD 20735-1078 | 2018-06-08 |
| 1124564778 | Pamela Young | Home Health | 5321 W Boniwood Turn, Clinton, MD 20735-4160 | 2017-01-06 |
| 1780095893 | Sherrie Stamps | Home Health | 311 Clinton Blvd Ste A, Clinton, MS 39056-5251 | 2014-05-12 |
| Find all providers in CLINTON | ||||
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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.