Healthcare Provider Details

I. General information

NPI: 1053941856
Provider Name (Legal Business Name): SONDRA'S LOVE AND CARE IN-HOME CARE AND ADULT DAY CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2020
Last Update Date: 01/21/2020
Certification Date: 01/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6520 BASELINE RD
LITTLE ROCK AR
72209-4732
US

IV. Provider business mailing address

3969 EASTERN SLOPE DR
ALEXANDER AR
72002-1773
US

V. Phone/Fax

Practice location:
  • Phone: 501-562-1988
  • Fax:
Mailing address:
  • Phone: 501-541-5924
  • Fax: 844-247-0463

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LASONDRA MCDOWELL
Title or Position: EXECUTIVE DIRECTOR, RN
Credential:
Phone: 501-562-1988