Healthcare Provider Details
I. General information
NPI: 1578324091
Provider Name (Legal Business Name): HOT SPRINGS SENIOR CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/22/2024
Last Update Date: 01/22/2024
Certification Date: 01/22/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
131 SHORE ACRES DR
HOT SPRINGS AR
71913-9578
US
IV. Provider business mailing address
131 SHORE ACRES DR
HOT SPRINGS AR
71913-9578
US
V. Phone/Fax
- Phone: 501-363-3996
- Fax: 501-762-8995
- Phone: 501-363-3996
- Fax: 501-762-8995
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PAULA
WESTON
Title or Position: ADMINISTRATOR
Credential:
Phone: 501-363-3996