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Contact Information

CENTRAL ARKANSAS AREA AGENCY ON AGING, INC
706 W 4TH ST
NORTH LITTLE ROCK, AR72114-5362
 Phone: 501-372-5300
 Fax: 501-688-7443
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Case Management

251B00000X
 

Home Delivered Meals

332U00000X 87 All Other Suppliers
 

Non-emergency Medical Transport (VAN)

343900000X
Indicates primary specialty

NPI Profile & details for CENTRAL ARKANSAS AREA AGENCY ON AGING, INC

NPI Number 1891779930
LBN Legal business name CENTRAL ARKANSAS AREA AGENCY ON AGING, INC
Authorized official LUKE MATTINGLY - (CEO/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/02/2005
Last updated 04/30/2021 - About 5 years ago
Identifiers
AR License # AR3295
AR Medicaid 104703732
AR Medicaid 120150753
AR Medicaid 120151757
AR Medicaid 120611765
AR Medicaid 208117797
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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