Provider Demographics
NPI:1336681345
Name:ASSIDUOUS HOME CARE, LLC
Entity Type:Organization
Organization Name:ASSIDUOUS HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHANDLER
Authorized Official - Middle Name:WELLS
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-487-5735
Mailing Address - Street 1:9127 FRESNO CIR
Mailing Address - Street 2:UNIT A
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-5647
Mailing Address - Country:US
Mailing Address - Phone:501-487-5735
Mailing Address - Fax:
Practice Address - Street 1:9127 FRESNO CIR
Practice Address - Street 2:UNIT A
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903-5647
Practice Address - Country:US
Practice Address - Phone:501-487-5735
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-08
Last Update Date:2017-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAR5269251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR215298765Medicaid
AR215298765Medicaid
AR216448757Medicaid
AR216455797Medicaid