Healthcare Provider Details

I. General information

NPI: 1245467166
Provider Name (Legal Business Name): ELDER HOUSE ADULT DAY CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2009
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 W CEDAR ST
EL DORADO AR
71730-5766
US

IV. Provider business mailing address

615 W CEDAR ST
EL DORADO AR
71730-5766
US

V. Phone/Fax

Practice location:
  • Phone: 870-864-9316
  • Fax: 870-875-1122
Mailing address:
  • Phone: 870-864-9316
  • Fax: 870-875-1122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385HR2065X
TaxonomyChild Physical Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: MS. PAULA RAINEY
Title or Position: DIRECTOR
Credential:
Phone: 870-864-9316