Healthcare Provider Details

I. General information

NPI: 1437080413
Provider Name (Legal Business Name): BEDROCK HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MODERN AVE UNIT 1227
HOT SPRINGS AR
71913-6740
US

IV. Provider business mailing address

200 MODERN AVE UNIT 1227
HOT SPRINGS AR
71913-6740
US

V. Phone/Fax

Practice location:
  • Phone: 501-293-2670
  • Fax:
Mailing address:
  • Phone: 501-293-2670
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MR. JAKE TURNER
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 501-293-2670