Provider Demographics
NPI:1588215958
Name:ALWAYS PROMOTING INDEPENDENCE HOMECARE, LLC
Entity Type:Organization
Organization Name:ALWAYS PROMOTING INDEPENDENCE HOMECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHELTON-WIGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-529-0803
Mailing Address - Street 1:1004 BRANTLEY AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72117-2146
Mailing Address - Country:US
Mailing Address - Phone:501-529-0803
Mailing Address - Fax:
Practice Address - Street 1:1004 BRANTLEY AVE
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72117-2146
Practice Address - Country:US
Practice Address - Phone:501-529-0803
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALWAYS PROMOTING INDEPENDENCE HOMECARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-09-26
Last Update Date:2019-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care