Healthcare Provider Details

I. General information

NPI: 1285943555
Provider Name (Legal Business Name): EMMA CHASE ACUTE & CHRONIC HOMECARE NURSING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2010
Last Update Date: 04/20/2020
Certification Date: 04/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2920 MARY DR
FORREST CITY AR
72335-2515
US

IV. Provider business mailing address

2920 MARY DR
FORREST CITY AR
72335-2515
US

V. Phone/Fax

Practice location:
  • Phone: 870-630-9438
  • Fax: 870-630-9438
Mailing address:
  • Phone: 870-630-9438
  • Fax: 870-630-9438

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberA01603
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberA01603
License Number StateAR

VIII. Authorized Official

Name: DR. EMMA CHASE MURRAY
Title or Position: OWNER
Credential: DNP, ACNP
Phone: 870-630-9438