Healthcare Provider Details

I. General information

NPI: 1558912923
Provider Name (Legal Business Name): ALWAYS PROMOTING INDEPENDENCE HOMECARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2019
Last Update Date: 04/27/2023
Certification Date: 04/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1004 BRANTLEY AVE
NORTH LITTLE ROCK AR
72117-2146
US

IV. Provider business mailing address

3805 MCCAIN PARK DR STE 105
NORTH LITTLE ROCK AR
72116-7813
US

V. Phone/Fax

Practice location:
  • Phone: 501-529-0803
  • Fax:
Mailing address:
  • Phone: 501-529-0803
  • Fax: 501-209-4205

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 Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: TOSHUA SHELTON-WIGGINS
Title or Position: OWNER
Credential:
Phone: 501-529-0803