MEDICARE: SEEK HIM ENTERPRISES LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467078725
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEEK HIM ENTERPRISES LLC

Provider Business Mailing Address
First Line	:	PO BOX 3
Second Line	:
City	:	BENTON
State	:	AR
Zip	:	72018-0003
Country	:	US
Telephone Number	:	501-725-2273
Fax Number	:	501-500-9377

Provider Business Practice Location Address
First Line	:	5552 VILLAGE DR
Second Line	:
City	:	BENTON
State	:	AR
Zip	:	72019-9466
Country	:	US
Telephone Number	:	501-725-2273
Fax Number	:	501-500-9377

Authorized Official
Title or Position	:	OWNER
Name	:	MR. MARC VAIL
Credential	:
Telephone Number	:	501-725-2273

Provider Enumeration Date	:	06/23/2020
Last Update Date	:	06/23/2020

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Directions to “SEEK HIM ENTERPRISES LLC ” Practice Location

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