MEDICARE: ELDER HOUSE ADULT DAY CARE CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	385H00000X	Respite Care
2	261QA0600X	Adult Day Care Clinic/Center
3	385HR2065X	Child Physical Disabilities Respite Care
4	251J00000X	Nursing Care Agency
5	251X00000X	Supports Brokerage Agency

General Provider Information

NPI Number	:	1245467166
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELDER HOUSE ADULT DAY CARE CENTER

Provider Business Mailing Address
First Line	:	615 W CEDAR ST
Second Line	:
City	:	EL DORADO
State	:	AR
Zip	:	71730-5766
Country	:	US
Telephone Number	:	870-864-9316
Fax Number	:	870-875-1122

Provider Business Practice Location Address
First Line	:	615 W CEDAR ST
Second Line	:
City	:	EL DORADO
State	:	AR
Zip	:	71730-5766
Country	:	US
Telephone Number	:	870-864-9316
Fax Number	:	870-875-1122

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MS. PAULA RAINEY
Credential	:
Telephone Number	:	870-864-9316

Provider Enumeration Date	:	06/18/2009
Last Update Date	:	01/02/2026

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