Healthcare Provider Details

I. General information

NPI: 1104911338
Provider Name (Legal Business Name): CARING HOME, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 08/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 S LAUREL ST
HOPE AR
71801-8221
US

IV. Provider business mailing address

1901 S LAUREL ST
HOPE AR
71801-8221
US

V. Phone/Fax

Practice location:
  • Phone: 870-777-8855
  • Fax: 870-777-8662
Mailing address:
  • Phone: 870-777-8855
  • Fax: 870-777-8662

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number706
License Number StateAR

VIII. Authorized Official

Name: MR. GARY MANNING
Title or Position: ADMINISTRATOR
Credential:
Phone: 870-777-8855