Healthcare Provider Details

I. General information

NPI: 1083136196
Provider Name (Legal Business Name): WOODLAND HILLS HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2017
Last Update Date: 04/09/2025
Certification Date: 04/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

153 SOUTH ST
CAMDEN AR
71701-6323
US

IV. Provider business mailing address

153 SOUTH ST
CAMDEN AR
71701-6323
US

V. Phone/Fax

Practice location:
  • Phone: 870-836-8877
  • Fax: 870-231-9044
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. RENEA JONES
Title or Position: OWNER
Credential:
Phone: 870-818-5204