STATE OF ARKANSAS (NPI# 1982633046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982633046 |
| Entity Type | Organization |
| Organization Name | STATE OF ARKANSAS |
| Other Organization Name | ARKANSAS DEPARTMENT OF HEALTH HOSPICE 10 |
| Practice Address |
40 Allen Chapel Rd Batesville AR 72501-9787 |
| Mailing Address |
5800 West 10th St Suite 300 Little Rock AR 72204-1764 |
| Practice Telephone | 5016612698 |
| Practice Fax Number | 5012804626 |
| Mailing Telephone | 5016612698 |
| Mailing Fax Number | 5012804626 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2012-10-09 |
| Authorized Official Name | MS. GAYLA LANUM (HOSPICE DIRECTOR) |
| Authorized Official Telephone | 5016612698 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | AR3812 | AR | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 123489747 | 05 | |
| AR | AR STATE HOSPICE LICENSE | AR3812 | 01 |
| Other Name | Type Code |
|---|---|
| Arkansas Department of Health Hospice 10 | 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 |
40 ALLEN CHAPEL RD |
| City | BATESVILLE |
| State | AR |
| Zip Code | 72501-9787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689137234 | Surya Boopathy | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-10 |
| 1245792530 | Shiyu Wang | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-04 |
| 1023598828 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 16520 White Dr., Batesville, AR 72501 | 2018-08-21 |
| 1437655040 | Bradely Stout | Social Worker | 1650 White Drive, Batesville, AR 72501 | 2018-04-03 |
| 1104342799 | Bobbi Tosh | Nurse Practitioner | 413 Virginia Drive, Batesville, AR 72501 | 2017-08-16 |
| 1912457854 | Melanie Ashleigh Brashers | Occupational Therapy Assistant | 1925 White Drive, Batesville, AR 72501 | 2016-10-04 |
| 1588112346 | Chelli Pollet | Developmental Therapist | 1000 White Dr, Batesville, AR 72501 | 2016-09-21 |
| 1184170482 | Taylor Mynatt | Speech-Language Pathologist | 1000 White Drive, Batesville, AR 72501 | 2016-08-28 |
| 1346626165 | Edward Shaw | Pharmacist | 1045 Saint Louis Street, Walgreens 12417, Batesville, AR 72501 | 2015-08-04 |
| 1457770372 | Stacy Pollack | Obstetrics & Gynecology | 1215 Sidney St Ste 202, Batesville, AR 72501 | 2014-04-08 |
| Find all providers in zip 72501 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265961940 | Palladium Hospice and Palliative Care, LLC | Hospice Care, Community Based | 695 Shamrock Dr, Batesville, MS 38606-2256 | 2017-06-07 |
| 1003292863 | Loving Hearts Hospice and Palliative Care, LLC | Hospice Care, Community Based | 301 Shopping Vlg, Batesville, IN 47006-1275 | 2015-08-04 |
| 1447668702 | New Covenant Hospice II, LLC | Hospice Care, Community Based | 510 Highway 51 S Ste 4, Batesville, MS 38606-2572 | 2014-07-30 |
| 1811189178 | Arkansas Hospice, Inc. | Hospice Care, Community Based | 2233 Harrison, Batesville, AR 72501 | 2007-08-10 |
| 1679627368 | Baptist Memorial Home Care Inc | Hospice Care, Community Based | 126 Highway 51 N, Batesville, MS 38606-2347 | 2007-01-22 |
| 1992806202 | Genesis Hospice Care, LLC | Hospice Care, Community Based | 563 Hwy 6 E., Batesville, MS 38606-3002 | 2006-09-26 |
| 1497708432 | Complete Hospice & Palliative Care | Hospice Care, Community Based | 103 Woodland Rd, Suite 7c, Batesville, MS 38606-8483 | 2006-05-19 |
| 1619933819 | Community Hospice, LLC | Hospice Care, Community Based | 270 Power Dr, Batesville, MS 38606-3010 | 2006-04-25 |
| 1932635141 | Lhcg Xcix, LLC | Hospice Care, Community Based | 560 Highway 6 E, Batesville, MS 38606-3002 | 2017-05-08 |
| 1710425863 | Loving Hearts Hospice LLC | Hospice Care, Community Based | 301 Shopping Vlg, Batesville, IN 47006-1275 | 2017-02-09 |
| Find all providers in BATESVILLE | ||||
| City | BATESVILLE |
| Zip Code | 72501 |
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.