Provider Demographics
NPI:1437443462
Name:HOSPICE HOME CARE, LLC
Entity Type:Organization
Organization Name:HOSPICE HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIVISION SENIOR VP OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:
Authorized Official - Last Name:KENSLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-558-4122
Mailing Address - Street 1:2200 S BOWMAN RD STE A
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-4136
Mailing Address - Country:US
Mailing Address - Phone:501-551-4100
Mailing Address - Fax:501-296-9978
Practice Address - Street 1:2409 W BEEBE CAPPS EXPY
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-4907
Practice Address - Country:US
Practice Address - Phone:501-207-0492
Practice Address - Fax:501-254-0298
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOSPICE HOME CARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-06-07
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAR3664251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based