HARBOR HOUSE, INC. (NPI# 1922166123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922166123 |
| Entity Type | Organization |
| Organization Name | HARBOR HOUSE, INC. |
| Practice Address |
615 N 19th St Fort Smith AR 72901-3319 |
| Mailing Address |
Po Box 4207 Fort Smith AR 72914-4207 |
| Practice Telephone | 4797854083 |
| Practice Fax Number | 4794947726 |
| Mailing Telephone | 4797854083 |
| Mailing Fax Number | 4794947726 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-03-18 |
| Authorized Official Name | RANEE R LEWIS (OFFICE MANAGER) |
| Authorized Official Telephone | 4794346266 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | AR | Residential Treatment Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2001 Pershing Cir, North Little Rock, AR 721141841 | 4797854083 | |
| 220 W Commercial St Ste B, Ozark, AR 729493216 | 4792140050 | |
| 228 W Tyler Ave, West Memphis, AR 723014089 | 8706350369 | |
| 2701 W. 2nd Ave., Pine Bluff, AR 71601 | 8709410075 | |
| 302 E Roosevelt Rd, Little Rock, AR 722062304 | 4797854083 | |
| 3700 W 65th St, Little Rock, AR 722098552 | 4797854083 | |
| 3900 Armour Ave, Fort Smith, AR 729044317 | 4797854083 | 4794346248 |
| 4500 Kelley Hwy, Fort Smith, AR 729045020 | 4797854083 | 4794346248 |
| 511 Union St Ste 230, Jonesboro, AR 724012863 | 8703166202 | |
| 57 W 4th St, Booneville, AR 729273601 | 4797854083 | |
| 600 Walnut St, Texarkana, AR 718545220 | 8703310732 | |
| 605 Alma Blvd., Van Buren, AR 72956 | 4793532808 | |
| 615 W Grand Ave Ste A, Hot Springs, AR 719013927 | 5016252383 | |
| 766 Harkrider, Conway, AR 72034 | 4797854083 | |
| 805 Garrison Ave, Fort Smith, AR 729012608 | 4792595883 | |
| 900 Quail Run Dr, Mulberry, AR 729478534 | 4797854083 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | HARBOR HOUSE, INC. | Po. Box 368, 100 Standish Rd., Sandwich, MA 02563 |
| Indiana Business Entities | HARBOR HOUSE, INC. | Po Box 316, Nappanee, IN 46550 |
| Street Address |
615 N 19TH ST |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72901-3319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871120550 | Christopher Gonzalez | Counselor | 615 N 19th St, Fort Smith, AR 72901-3319 | 2020-03-24 |
| 1255968947 | Vincent Scott | Counselor | 615 N 19th St, Fort Smith, AR 72901-3319 | 2020-03-24 |
| 1154958841 | David Allen | Counselor | 615 N 19th St, Fort Smith, AR 72901-3319 | 2020-03-24 |
| 1093342974 | Michael Howard | Counselor | 615 N 19th St, Fort Smith, AR 72901-3319 | 2020-03-23 |
| 1801423785 | Nicholas Page | Counselor | 615 N 19th St, Fort Smith, AR 72901-3319 | 2020-03-23 |
| 1558998419 | Thomas Owens | Counselor | 615 N 19th St, Fort Smith, AR 72901-3319 | 2020-03-23 |
| 1801422118 | Austin Coats | Counselor | 615 N 19th St, Fort Smith, AR 72901-3319 | 2020-03-18 |
| 1700412012 | Audra Cooper | Counselor | 615 N 19th St, Fort Smith, AR 72901-3319 | 2020-03-18 |
| 1295111953 | Philisha Norried | Counselor | 615 N 19th St, Fort Smith, AR 72901-3319 | 2015-08-05 |
| 1497130538 | William L Heaton | Counselor | 615 N 19th St, Fort Smith, AR 72901-3319 | 2015-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922627249 | Vaibhav S Desai | Student in an Organized Health Care Education/Training Program | Family Medicine Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2020-04-16 |
| 1689136475 | Prudence Nassem Ipaye-adebiyi | Student in an Organized Health Care Education/Training Program | Family Medicine ; Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2019-04-02 |
| 1134608961 | Baptist Health Services | Otolaryngology | 520 Towson Ave, Suite A, Fort Smith, AR 72901 | 2018-08-13 |
| 1316426125 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 60, Fort Smith, AR 72901 | 2018-08-13 |
| 1396224101 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 100, Fort Smith, AR 72901 | 2018-08-13 |
| 1164901914 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 200, Fort Smith, AR 72901 | 2018-08-13 |
| 1942789755 | Baptist Health Services | Counselor | 1001 Towson Ave Ste 500, Fort Smith, AR 72901 | 2018-08-13 |
| 1669951315 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 175, Fort Smith, AR 72901 | 2018-08-13 |
| 1508345265 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 180, Fort Smith, AR 72901 | 2018-08-13 |
| 1326527086 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 195, Fort Smith, AR 72901 | 2018-08-13 |
| Find all providers in zip 72901 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033737762 | Retreat At Skyridge | Substance Abuse Rehabilitation Facility | 637 County Road 111, Eureka Springs, AR 72631-9030 | 2020-07-09 |
| 1255971610 | Nsrc Oakgrove LLC | Substance Abuse Rehabilitation Facility | 10025 Oakland Dr, North Little Rock, AR 72118-1942 | 2020-01-13 |
| 1295385359 | Atlas Healthcare Associates, LLC | Substance Abuse Rehabilitation Facility | 408 Office Park Dr Ste 2, Bryant, AR 72022-7536 | 2019-09-19 |
| 1609429778 | Coatc LLC | Substance Abuse Rehabilitation Facility | 1807 E Lawson Rd, Little Rock, AR 72210-5012 | 2019-07-18 |
| 1730640558 | Teen Challenge Women's Ministries | Substance Abuse Rehabilitation Facility | 618 S Knoxville Ave, Russellville, AR 72801-6419 | 2019-03-26 |
| 1780114611 | Applegate Health Services, Inc | Substance Abuse Rehabilitation Facility | 403 W Oak St Ste 105, El Dorado, AR 71730-4573 | 2017-06-13 |
| 1518494863 | Cscb Rehabilitation Management Group, LLC | Substance Abuse Rehabilitation Facility | 1 Lile Court, Suite 103, Little Rock, AR 77005 | 2017-05-17 |
| 1013468925 | Preferred Family Health Care, Inc | Substance Abuse Rehabilitation Facility | 9219 Sibley Hall Road, Little Rock, AR 72209-0000 | 2016-10-17 |
| 1174907463 | Southwest Arkansas Counseling & Mental Health Center, Inc | Substance Abuse Rehabilitation Facility | 7000 N Stateline, Texarkana, AR 71854-2536 | 2015-07-16 |
| 1851770564 | Better Community Development, Inc | Substance Abuse Rehabilitation Facility | 3604 W 12th St, Little Rock, AR 72204-2139 | 2015-05-27 |
| Find all providers with the same taxonomy | ||||
| City | FORT SMITH |
| Zip Code | 72901 |
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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.