Provider Demographics
NPI:1548602980
Name:ARKANSAS HOME HEALTH PROVIDERS, LLC
Entity Type:Organization
Organization Name:ARKANSAS HOME HEALTH PROVIDERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER OF MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-455-0010
Mailing Address - Street 1:10710 OTTER CREEK BLVD.
Mailing Address - Street 2:SUITE 400
Mailing Address - City:MABELVALE
Mailing Address - State:AR
Mailing Address - Zip Code:72133
Mailing Address - Country:US
Mailing Address - Phone:501-455-0010
Mailing Address - Fax:
Practice Address - Street 1:1900 MALVERN AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-7759
Practice Address - Country:US
Practice Address - Phone:501-321-0708
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-26
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health