Healthcare Provider Details

I. General information

NPI: 1033065313
Provider Name (Legal Business Name): ARKANSAS ALL CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2026
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4816 N VINE ST
NORTH LITTLE ROCK AR
72116-7258
US

IV. Provider business mailing address

4816 N VINE ST
NORTH LITTLE ROCK AR
72116-7258
US

V. Phone/Fax

Practice location:
  • Phone: 501-912-3841
  • Fax: 501-330-8246
Mailing address:
  • Phone: 501-912-3841
  • Fax: 501-330-8246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: VERNON O JORDAN
Title or Position: CEO
Credential:
Phone: 501-410-4731