STATE OF ARKANSAS (NPI# 1912014192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912014192 |
| Entity Type | Organization |
| Organization Name | STATE OF ARKANSAS |
| Other Organization Name | JOHNSON COUNTY HEALTH UNIT |
| Practice Address |
# 22 Sherwood Plaza Johnson County Health Unit Clarksville AR 72830-4337 |
| Mailing Address |
5800 West 10th Street Suite 300 Little Rock AR 72204-1764 |
| Practice Telephone | 4797542949 |
| Practice Fax Number | 4797544700 |
| Mailing Telephone | 5016612614 |
| Mailing Fax Number | 5016612975 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2008-08-13 |
| 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 | AR3998 | AR | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 104312514 | 05 |
| Other Name | Type Code |
|---|---|
| Johnson 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 |
| 1649280694 | State of Arkansas | Home Health | 100 E 20th, Suite E & F Hempstead County Health Unit, Hope, AR 71801-8213 | 2006-08-09 |
| Street Address |
# 22 SHERWOOD PLAZA JOHNSON COUNTY HEALTH UNIT |
| City | CLARKSVILLE |
| State | AR |
| Zip Code | 72830-4337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649737545 | Marilyn Elaine Laster | Pharmacist | 211 East Main St, Clarksville, AR 72830 | 2019-02-27 |
| 1083186431 | Kayla Chinchilla | Counselor | 106 Cherokee Lane, Clarksville, AR 72830 | 2018-12-26 |
| 1669995619 | Karla D Snow | Case Manager/Care Coordinator | 718 Brown Street, Clarksville, AR 72830 | 2017-07-21 |
| 1811426232 | Netscript Telemedicine Solutions | Family Medicine | 235 Cr 3520, Clarksville, AR 72830 | 2017-06-08 |
| 1275882060 | Shay Morgan | Dietitian, Registered | 1100 East Poplar Street, Clarksville, AR 72830 | 2012-09-07 |
| 1518111566 | Melisa Leann Traylor | Case Manager/Care Coordinator | 522 Mill Road, Clarksville, AR 72830 | 2008-11-04 |
| 1669635280 | Family Foot Clinic | Podiatrist | 203 Sevier St, Clarksville, AR 72830 | 2008-07-03 |
| 1891969721 | Scott Lee Landis | Counselor | 522 Mills Rd., Clarksville, Ar, AR 72830 | 2008-04-22 |
| 1437364684 | Snider Family Chiropractic Clinic | Chiropractor | 1012 Poplar St., Clarksville, AR 72830 | 2007-05-11 |
| 1376765917 | Jones Speech Therapy | Speech-Language Pathologist | 1312 North Harmony Road, Clarksville, AR 72830 | 2007-05-03 |
| Find all providers in zip 72830 | ||||
| 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 |
|---|---|---|---|---|
| 1891356093 | Th Care Services | Home Health | 362 Landrum Pl, Clarksville, TN 37043-4648 | 2019-06-27 |
| 1619448255 | Sapphire Home Health Services LLC | Home Health | 132 Liberty Pkwy, Clarksville, TN 37040-3836 | 2018-12-07 |
| 1851751606 | Blessings From The Sky LLC | Home Health | 314 Cunningham Ln, Clarksville, TN 37042-5312 | 2016-03-07 |
| 1760867543 | Elizabeth Simmons | Home Health | 1028 Dover Rd, Clarksville, TN 37042-6014 | 2015-07-22 |
| 1316366784 | Kbs5 LLC Dba A Caring Home Care Services | Home Health | 1850 Memorial Dr Ste A, Clarksville, TN 37043-4697 | 2014-04-14 |
| 1023439601 | Home Matters LLC | Home Health | 1132 Indian Lakes Blvd, Clarksville, OH 45113-7604 | 2013-12-26 |
| 1184949059 | Suncrest Home Health of Nashville, Inc. | Home Health | 2292 Dalton Dr Ste A, Clarksville, TN 37043-8961 | 2010-04-02 |
| 1780824938 | Hollon Financial Services | Home Health | 3641 S Clarksville Rd, Clarksville, OH 45113-9704 | 2009-03-01 |
| 1982857322 | Special Needs Home Health Care | Home Health | 777 Dover Road, Clarksville, TN 37042-6009 | 2008-10-29 |
| 1366656084 | Aathome Pediatric Nursing Team | Home Health | 13009 Twelve Trees Ct, Clarksville, MD 21029-1146 | 2007-05-10 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 72830 |
Please comment or provide details below to improve the information on STATE OF ARKANSAS.
| 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.