Provider Demographics
NPI:1679600761
Name:HEALTHCARE ESSENTIALS INC
Entity Type:Organization
Organization Name:HEALTHCARE ESSENTIALS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:ATHEL
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-799-8397
Mailing Address - Street 1:PO BOX 9613
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-0028
Mailing Address - Country:US
Mailing Address - Phone:479-306-4600
Mailing Address - Fax:479-306-4605
Practice Address - Street 1:406 E HENRI DE TONTI BLVD
Practice Address - Street 2:STE 3
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72762-9667
Practice Address - Country:US
Practice Address - Phone:479-306-4600
Practice Address - Fax:479-306-4605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR30464472001332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR164113716Medicaid
AR164113716Medicaid