Healthcare Provider Details

I. General information

NPI: 1275461907
Provider Name (Legal Business Name): JASIMINE RITTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 S CHESTER ST
LITTLE ROCK AR
72201-2015
US

IV. Provider business mailing address

4923 RIXIE RD
NORTH LITTLE ROCK AR
72117-1541
US

V. Phone/Fax

Practice location:
  • Phone: 501-943-5600
  • Fax:
Mailing address:
  • Phone: 501-943-5600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateAR
# 3
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: