Provider Demographics
NPI:1528670130
Name:HOME HEALTH CARE AGENCY OF ARKANSAS, LLC
Entity type:Organization
Organization Name:HOME HEALTH CARE AGENCY OF ARKANSAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CONSTANCE
Authorized Official - Middle Name:ROSETTE
Authorized Official - Last Name:JARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:501-553-1953
Mailing Address - Street 1:1200 JOHN BARROW ROAD SUITE #111
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-6528
Mailing Address - Country:US
Mailing Address - Phone:501-553-1953
Mailing Address - Fax:
Practice Address - Street 1:1200 JOHN BARROW ROAD SUITE #111
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6528
Practice Address - Country:US
Practice Address - Phone:501-553-1953
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-17
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health