Healthcare Provider Details

I. General information

NPI: 1053344192
Provider Name (Legal Business Name): COMMUNITY HOME HEALTH CARE OF AR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 07/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2315 HWY 62/412
HIGHLAND AR
72542
US

IV. Provider business mailing address

PO BOX 418
HARDY AR
72542
US

V. Phone/Fax

Practice location:
  • Phone: 870-856-2671
  • Fax: 870-856-2670
Mailing address:
  • Phone: 870-856-2671
  • Fax: 870-856-2670

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberAR4286
License Number StateAR

VIII. Authorized Official

Name: MRS. AMBER WILLIAMS REED
Title or Position: OWNER/ADMINISTRATER
Credential: RN
Phone: 870-856-2671