Provider Demographics
NPI:1679949267
Name:PSM HOME HEALTH, INC.
Entity Type:Organization
Organization Name:PSM HOME HEALTH, INC.
Other - Org Name:HOME HELPERS AND DIRECT LINK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:STUART
Authorized Official - Last Name:MCINDOE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-663-3900
Mailing Address - Street 1:8 SHACKLEFORD PLZ
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-1826
Mailing Address - Country:US
Mailing Address - Phone:501-663-3900
Mailing Address - Fax:501-421-8191
Practice Address - Street 1:8 SHACKLEFORD PLZ
Practice Address - Street 2:SUITE 101
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-1826
Practice Address - Country:US
Practice Address - Phone:501-663-3900
Practice Address - Fax:501-421-8191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-18
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care