Provider Demographics
NPI:1609907161
Name:HOME INSTEAD SENIOR CARE
Entity Type:Organization
Organization Name:HOME INSTEAD SENIOR CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:PUTNAM
Authorized Official - Last Name:LUNDE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:870-972-8540
Mailing Address - Street 1:1720 S CARAWAY RD
Mailing Address - Street 2:SUITE 3050
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-5207
Mailing Address - Country:US
Mailing Address - Phone:870-933-6247
Mailing Address - Fax:870-933-6446
Practice Address - Street 1:1720 S CARAWAY RD
Practice Address - Street 2:SUITE 3050
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-5207
Practice Address - Country:US
Practice Address - Phone:870-933-6247
Practice Address - Fax:870-933-6446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health