National Provider Identifier Database

EUREKA SPRINGS HOSPITAL HOSPICE LLC
Hospice Care, Community Based


Contact Information

EUREKA SPRINGS HOSPITAL HOSPICE, LLC
4847 KAYLEE AVE STE A
SPRINGDALE, AR72762-0871
Phone: 479-751-3019
Fax: 479-750-2710
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for EUREKA SPRINGS HOSPITAL HOSPICE, LLC

NPI Number 1417084765
Legal business name
LBN
EUREKA SPRINGS HOSPITAL HOSPICE, LLC
Authorized official JOSHUA PROFFITT - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 02/27/2007
Last updated 02/13/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • AR License #: AR4472
  • AR Medicaid: 167373747

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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