Healthcare Provider Details

I. General information

NPI: 1831948678
Provider Name (Legal Business Name): NONNA'S CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2024
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1142 HIGHWAY 71 S STE D
MENA AR
71953-8078
US

IV. Provider business mailing address

PO BOX 12
MENA AR
71953-0012
US

V. Phone/Fax

Practice location:
  • Phone: 479-391-2424
  • Fax: 479-227-5360
Mailing address:
  • Phone: 479-391-2424
  • Fax: 479-227-5360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: TONYA L CHAMBERS
Title or Position: OWNER
Credential: PMHNP
Phone: 479-216-1172