Provider Demographics
NPI:1346506748
Name:NORTH HILLS SERVICES, INC
Entity Type:Organization
Organization Name:NORTH HILLS SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:F
Authorized Official - Last Name:POOLE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:501-835-9607
Mailing Address - Street 1:6900 N HILLS BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72116-5423
Mailing Address - Country:US
Mailing Address - Phone:501-835-9607
Mailing Address - Fax:501-835-4071
Practice Address - Street 1:6900 N HILLS BLVD
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72116-5423
Practice Address - Country:US
Practice Address - Phone:501-835-9607
Practice Address - Fax:501-835-4071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-10
Last Update Date:2012-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR116221742251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR1295773919OtherNPI
175070795Medicare PIN