ACTIVE LIVING MEDICAL SUPPLY (NPI# 1780860643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780860643 |
| Entity Type | Organization |
| Organization Name | ACTIVE LIVING MEDICAL SUPPLY |
| Practice Address |
11324 Arcade Dr Suite 24 Little Rock AR 72212-4074 |
| Practice Telephone | 5013799217 |
| Practice Fax Number | 5013799218 |
| Mailing Telephone | 5013799217 |
| Mailing Fax Number | 5013799218 |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2008-06-05 |
| Authorized Official Name | MR. BILL BARNES (COO) |
| Authorized Official Telephone | 5013799217 |
| Authorized Official Credential | PTA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
800124349 | AR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 167682716 | 05 |
| Street Address |
11324 ARCADE DR SUITE 24 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72212-4074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366579815 | Cathy Webb Schuler | Speech-Language Pathologist | 11324 Arcade Dr, Suite 10, Little Rock, AR 72212-4074 | 2007-02-28 |
| 1942338967 | Kimberly Michelle Fowler | Speech-Language Pathologist | 11324 Arcade Dr, Suite 10, Little Rock, AR 72212-4074 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475805 | Arkansas Health Group | Dietitian, Registered | 10915 Rodney Parham Road, Suite G, Little Rock, AR 72212 | 2020-10-20 |
| 1043788045 | Arkansas Wellness Associates LLC | Internal Medicine | 10700 N Rodney Parham Road, Suite C11, Little Rock, AR 72212 | 2018-11-07 |
| 1538663729 | Premier Gastroenterology Associates Pllc | Internal Medicine | 10915 N. Rodney Parham, Suite B, Little Rock, AR 72212 | 2018-03-21 |
| 1942749148 | Reece Lewis Crow | General Practice | 34 Windsor Road, Little Rock, AR 72212 | 2017-02-21 |
| 1174910210 | Jourdan Quinn | Nurse Practitioner | 11300 Cantrell Rd Ste 204, Little Rock, AR 72212 | 2015-04-15 |
| 1174942528 | Jacey Tanner Guthrie | Dermatology | 4200 N Rodney Parham Rd Ste 202, Little Rock, AR 72212 | 2014-04-14 |
| 1366867525 | Rustee Danielle Pruitt | Counselor | 1719 Merrill Drive, Little Rock, AR 72212 | 2014-02-25 |
| 1932520558 | Diana Johnson Pearson | Speech-Language Pathologist | 3920 Woodland Heights Rd., Little Rock, AR 72212 | 2013-12-27 |
| 1275968786 | Bill F Hefley Sr. | Allergy & Immunology | 361 Valley Club Circle, Little Rock, AR 72212 | 2013-09-04 |
| 1376987693 | Robert Carlton Power | Internal Medicine | 8 Bella View Drive, Little Rock, AR 72212 | 2013-04-18 |
| Find all providers in zip 72212 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154680544 | Little Rock Respiratory | Durable Medical Equipment & Medical Supplies | 15001 Chicopee Trl, Little Rock, AR 72210-3232 | 2012-05-07 |
| 1144414616 | Airways Medical LLC | Durable Medical Equipment & Medical Supplies | 9303 Treasure Hill Rd, Little Rock, AR 72227-6217 | 2007-08-28 |
| 1003988767 | B & B Medical Services, Inc. | Durable Medical Equipment & Medical Supplies | 7123 Interstate 30, 37, Little Rock, AR 72209-3121 | 2006-11-15 |
| 1346341823 | Diamond Medical Equipment & Supply, Inc | Durable Medical Equipment & Medical Supplies | 300 S Rodney Parham, Suite 19, Little Rock, AR 72205 | 2006-09-26 |
| 1720037963 | O'brian Healthcare Inc | Durable Medical Equipment & Medical Supplies | 4318 West Markham, Ste 2, Little Rock, AR 72205 | 2006-05-06 |
| 1356340350 | A-plus Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 805 W 2nd St, Little Rock, AR 72201-2117 | 2005-07-20 |
| 1235528423 | Ts Aquisitions, Inc | Durable Medical Equipment & Medical Supplies | 9303 Treasure Hill Rd, Little Rock, AR 72227-6217 | 2015-01-12 |
| 1588899918 | Step By Step Senior Care | Durable Medical Equipment & Medical Supplies | 6917 Geyer Springs Rd Ste 6s, Little Rock, AR 72209-2760 | 2009-05-29 |
| 1003024787 | Cenrtal Medical Supply Inc. | Durable Medical Equipment & Medical Supplies | 1200 John Barrow Rd, # 304, Little Rock, AR 72205-6500 | 2007-05-18 |
| 1376641373 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 10303 Colonel Glenn Rd, Ste 1b, Little Rock, AR 72204-8146 | 2006-09-21 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72212 |
Please comment or provide details below to improve the information on ACTIVE LIVING MEDICAL SUPPLY.
| 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.