Healthcare Provider Details

I. General information

NPI: 1578998647
Provider Name (Legal Business Name): KRM CARE SOLUTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2013
Last Update Date: 09/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3190 BELLA VISTA WAY
BELLA VISTA AR
72714-5733
US

IV. Provider business mailing address

3190 BELLA VISTA WAY
BELLA VISTA AR
72714-5733
US

V. Phone/Fax

Practice location:
  • Phone: 479-855-6000
  • Fax: 479-855-4041
Mailing address:
  • Phone: 479-855-6000
  • Fax: 479-855-4041

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: REBECCA MCCARTHY
Title or Position: DIRECTOR / OWNER
Credential:
Phone: 479-855-6000