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Contact Information

CAVHS
2220 FT ROOTS DRIVE
NORTH LITTLE ROCK, AR72114-1706
 Phone: 501-257-3469
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for CAVHS

NPI # 1760627640
LBN Legal business name CAVHS
Authorized official SUSAN BRADLEY - (CERT. RECREATION THERAPIST)
Entity Organization
Organization subpart 1 No
Enumeration date 12/08/2008
Last updated 12/08/2008 - About 18 years ago
Identifiers
NY License # 22745
NY License # CERT. ID # 22745
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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