Healthcare Provider Details

I. General information

NPI: 1255193678
Provider Name (Legal Business Name): HOT SPRINGS SENIOR CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2024
Last Update Date: 01/30/2024
Certification Date: 07/01/2022
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

Practice location:
  • Phone: 501-363-3996
  • Fax:
Mailing address:
  • Phone: 501-363-3996
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: PAULA WESTON
Title or Position: ADMINSTRATOR
Credential: DO
Phone: 501-363-3996