Provider Demographics
NPI:1053454900
Name:WASHINGTON COUNTY HOME HEALTH CARE INC.
Entity Type:Organization
Organization Name:WASHINGTON COUNTY HOME HEALTH CARE INC.
Other - Org Name:ALLIANCE HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCARDLE
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:479-442-6363
Mailing Address - Street 1:540 E. APPLEBY RD.
Mailing Address - Street 2:STE 102
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703
Mailing Address - Country:US
Mailing Address - Phone:479-442-6363
Mailing Address - Fax:479-442-6365
Practice Address - Street 1:540 E. APPLEBY RD.
Practice Address - Street 2:STE 102
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703
Practice Address - Country:US
Practice Address - Phone:479-442-6363
Practice Address - Fax:479-442-6365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2014-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAR4337251E00000X
AR251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR149360514Medicaid
AR149360514Medicaid