MEDICARE: AREA AGENCY ON AGING OF NORTHWEST ARKANSAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency
2	261QA0600X	Adult Day Care Clinic/Center
3	332B00000X	Durable Medical Equipment & Medical Supplies	MG00523	AR
4	332U00000X	Home Delivered Meals
5	333300000X	Emergency Response System Companies
6	374U00000X	Home Health Aide

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114980109
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AREA AGENCY ON AGING OF NORTHWEST ARKANSAS

Provider Business Mailing Address
First Line	:	PO BOX 1795
Second Line	:
City	:	HARRISON
State	:	AR
Zip	:	72602-1795
Country	:	US
Telephone Number	:	870-741-1144
Fax Number	:	870-741-1153

Provider Business Practice Location Address
First Line	:	1510 ROCK SPRINGS RD
Second Line	:
City	:	HARRISON
State	:	AR
Zip	:	72601-8804
Country	:	US
Telephone Number	:	870-741-1144
Fax Number	:	870-741-1153

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. RICHARD B BAILEY
Credential	:
Telephone Number	:	870-741-1144

Provider Enumeration Date	:	04/10/2006
Last Update Date	:	01/23/2025

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Directions to “AREA AGENCY ON AGING OF NORTHWEST ARKANSAS ” Practice Location

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