State Of Arkansas in Little Rock - Hospice Care, Community Based

State Of Arkansas - NPI 1194754226

State Of Arkansas is a Hospice Care, Community Based in Little Rock, Arkansas. State Of Arkansas practices all healthcare services and medical treatments related to Hospice Care, Community Based. The NPI Number for State Of Arkansas is 1194754226. The last update date is 2012-10-09.

State Of Arkansas's current location address is 5800 W 10th St, Little Rock, Arkansas. You can contact this provider via phone number 5016612698 and fax number 5012804626. The mailing address for State Of Arkansas is 5800 W 10th St, Little Rock, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Organization State Of Arkansas
Address 5800 W 10th St, Little Rock, Arkansas
Phone Number 5016612698
Fax Number 5012804626
Sole Proprietor --
Credentials --

Authorized Official

Title or Position HOSPICE DI
Authorized Official Name Lanum Gayla
Credentials R.N.
Telephone Number 5016612698

NPI Number Detail

NPI Number 1194754226
Provider Enumeration Date 2006-07-01
Last Updated Date 2012-10-09

Provider Mailing Address Detail

Address 5800 W 10th St
City Little Rock
State Arkansas (AR)
Post Code 722041752
Phone Number 5016612698
Fax Number 5012804626

Provider's Primary Taxonomy Detail

Speciality Hospice Care, Community Based
Taxonomy 251G00000X
Licence No AR3164
Definition:
Provides palliative care to terminally ill patients to manage pain and symptoms and support quality of life.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
AR3164 AR AR STATE HOSPICE LICENSE
123489747 AR --

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FAQs about State Of Arkansas

What is the unique identifier code issued to State Of Arkansas by the Centers for Medicare & Medicaid Services (CMS)?

The State Of Arkansas has been assigned the NPI (National Provider Identifier) 1194754226. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where State Of Arkansas is located?

The State Of Arkansas is situated at the following address: 5800 W 10Th St, Little Rock, AR, 722041752.

What is State Of Arkansas's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for State Of Arkansas is Hospice Care, Community Based, and the taxonomy code that categorizes this field of expertise is 251G00000X.

When did the State Of Arkansas receive its 1194754226?

The State Of Arkansas was issued its 1194754226 on 2006-07-01, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to State Of Arkansas, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to State Of Arkansas, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-10-09.

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