Healthcare Provider Details

I. General information

NPI: 1144414616
Provider Name (Legal Business Name): AIRWAYS MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2007
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9303 TREASURE HILL RD
LITTLE ROCK AR
72227-6217
US

IV. Provider business mailing address

9303 TREASURE HILL RD
LITTLE ROCK AR
72227-6217
US

V. Phone/Fax

Practice location:
  • Phone: 501-954-8200
  • Fax: 501-954-8308
Mailing address:
  • Phone: 501-954-9922
  • Fax: 501-954-8308

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: SHEILA ROBERSON
Title or Position: COMPLIANCE OFFICER
Credential:
Phone: 602-818-5258