State Of Arkansas in Little Rock - Hospice Care, Community Based
State Of Arkansas - NPI 1720017833
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 1720017833. The last update date is 2012-10-09.
State Of Arkansas's current location address is 5800 West 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 West 10th St, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | State Of Arkansas |
|---|---|
| Address | 5800 West 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 Evette Gayla |
| Credentials | R.N. BSN |
| Telephone Number | 5016612698 |
NPI Number Detail
| NPI Number | 1720017833 |
|---|---|
| Provider Enumeration Date | 2006-07-01 |
| Last Updated Date | 2012-10-09 |
Provider Mailing Address Detail
| Address | 5800 West 10th St |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 722041764 |
| Phone Number | 5016612698 |
| Fax Number | 5012804626 |
Provider's Primary Taxonomy Detail
| Speciality | Hospice Care, Community Based |
|---|---|
| Taxonomy | 251G00000X |
| Licence No | AR3629 |
|
Definition: Provides palliative care to terminally ill patients to manage pain and symptoms and support quality of life. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| AR3629 | AR | AR STATE HOSPICE LICENSE | |
| 123489747 | AR | -- |
Post Comment/ Review Below
What is the State Of Arkansas's 1720017833?
The State Of Arkansas's NPI (National Provider Identifier) Number is 1720017833. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where State Of Arkansas is geographically located?
The State Of Arkansas is physically situated at the following location: 5800 West 10Th St, Little Rock, AR, 722041764.
What is the area of specialization for State Of Arkansas, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for State Of Arkansas is Hospice Care, Community Based, and the corresponding taxonomy code that categorizes this area of expertise is 251G00000X.
On what date did the State Of Arkansas receive the assignment of its 1720017833 from the Centers for Medicare & Medicaid Services?
The State Of Arkansas was issued its 1720017833 by the Centers for Medicare & Medicaid Services on 2006-07-01.
As of what date were the details related to State Of Arkansas most recently updated or revised?
The information pertaining to State Of Arkansas, including its address, specialty, and other relevant details, was last updated or revised on 2012-10-09.