Healthcare Provider Details

I. General information

NPI: 1316431489
Provider Name (Legal Business Name): KRCARE,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2018
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 E MONROE AVE STE B
LOWELL AR
72745-9625
US

IV. Provider business mailing address

207 E MONROE AVE SUITE B
LOWELL AR
72745-6106
US

V. Phone/Fax

Practice location:
  • Phone: 479-717-6344
  • Fax: 479-717-6055
Mailing address:
  • Phone: 479-717-6344
  • Fax: 479-802-3292

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: RAELENE PLUMMER
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 479-715-8055