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Contact Information

ELITE SENIOR CARE-NORTH ARKANSAS LLC
6289 HWY 62W
GASSVILLE, AR72635
 Phone: 870-435-2123
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
 

Case Management

251B00000X
Indicates primary specialty

NPI Profile & details for ELITE SENIOR CARE-NORTH ARKANSAS LLC

NPI # 1285183087
LBN Legal business name ELITE SENIOR CARE-NORTH ARKANSAS LLC
Authorized official JUSTIN HAGOOD - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/22/2016
Last updated 06/08/2022 - About 4 years ago
Identifiers
AR License # 215139765
AR Medicaid 205557757
AR Medicaid 206177732
AR Medicaid 207843797
AR Medicaid 215139765
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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