Provider Demographics
NPI:1053667022
Name:AMERICAN CARE FOUNDATION
Entity Type:Organization
Organization Name:AMERICAN CARE FOUNDATION
Other - Org Name:AMERICAN HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ADAMS
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:972-365-6477
Mailing Address - Street 1:530 SOUTH RL THORNTON
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75203
Mailing Address - Country:US
Mailing Address - Phone:214-943-7300
Mailing Address - Fax:214-943-7302
Practice Address - Street 1:8116 DEPRIEST RD
Practice Address - Street 2:SUITE 100
Practice Address - City:MABELVALE
Practice Address - State:AR
Practice Address - Zip Code:72103
Practice Address - Country:US
Practice Address - Phone:501-416-6458
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-27
Last Update Date:2012-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR78660163W00000X
385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes385H00000XRespite Care FacilityRespite Care
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR192192752Medicaid
AR192191757Medicaid