Healthcare Provider Details

I. General information

NPI: 1548602980
Provider Name (Legal Business Name): ARKANSAS HOME HEALTH PROVIDERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2013
Last Update Date: 07/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 MALVERN AVE SUITE 205
HOT SPRINGS AR
71901-7759
US

IV. Provider business mailing address

10710 OTTER CREEK BLVD. SUITE 400
MABELVALE AR
72133
US

V. Phone/Fax

Practice location:
  • Phone: 501-321-0708
  • Fax:
Mailing address:
  • Phone: 501-455-0010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: RICHARD A WILLIAMS
Title or Position: MANAGER OF MEMBER
Credential:
Phone: 501-455-0010