Provider Demographics
NPI:1639515729
Name:SETREK CORPORATION
Entity Type:Organization
Organization Name:SETREK CORPORATION
Other - Org Name:HOME INSTEAD SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:WELCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-936-9885
Mailing Address - Street 1:100 N DIXIELAND RD
Mailing Address - Street 2:STE A-5
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72756-1123
Mailing Address - Country:US
Mailing Address - Phone:479-936-9885
Mailing Address - Fax:479-936-9887
Practice Address - Street 1:100 N DIXIELAND RD
Practice Address - Street 2:STE A-5
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72756-1123
Practice Address - Country:US
Practice Address - Phone:479-936-9885
Practice Address - Fax:479-936-9887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-15
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAR4569253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR157387752Medicaid
AR178412797Medicaid
AR178500732Medicaid
AR177870796Medicaid
AR157388757Medicaid