Healthcare Provider Details

I. General information

NPI: 1336159318
Provider Name (Legal Business Name): CARE IV, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

438 E MILLSAP RD STE 204
FAYETTEVILLE AR
72703-4814
US

IV. Provider business mailing address

438 E MILLSAP RD STE 204
FAYETTEVILLE AR
72703-4814
US

V. Phone/Fax

Practice location:
  • Phone: 479-750-1155
  • Fax: 479-750-2228
Mailing address:
  • Phone: 479-750-1155
  • Fax: 479-750-2228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberAR3546
License Number StateAR

VIII. Authorized Official

Name: STEVEN DWAYNE HAMMOND
Title or Position: VICE PRESIDENT
Credential:
Phone: 501-686-2444