Provider Demographics
NPI:1598350852
Name:ARKANSAS HOMECARE HOLDINGS, INC.
Entity type:Organization
Organization Name:ARKANSAS HOMECARE HOLDINGS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:PHIPPS
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:910-401-7144
Mailing Address - Street 1:3155 WINDSONG LN
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-3493
Mailing Address - Country:US
Mailing Address - Phone:910-401-7144
Mailing Address - Fax:
Practice Address - Street 1:813 OAK ST STE 3
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72032-4400
Practice Address - Country:US
Practice Address - Phone:910-401-7144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-08
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care