Provider Demographics
NPI:1326572595
Name:COMMUNITY BEST CARE LLC
Entity Type:Organization
Organization Name:COMMUNITY BEST CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:J
Authorized Official - Last Name:LANCASTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-569-8082
Mailing Address - Street 1:400 HARRISON ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:BATESVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72501-6916
Mailing Address - Country:US
Mailing Address - Phone:870-569-8082
Mailing Address - Fax:870-569-8073
Practice Address - Street 1:400 HARRISON ST
Practice Address - Street 2:SUITE 204
Practice Address - City:BATESVILLE
Practice Address - State:AR
Practice Address - Zip Code:72501-6916
Practice Address - Country:US
Practice Address - Phone:870-569-8082
Practice Address - Fax:870-569-8073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-14
Last Update Date:2017-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR20170005A253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR218901757Medicaid
AR218902797Medicaid
AR218890765Medicaid