Provider Demographics
NPI:1851428189
Name:JENKINS HOUSING INC
Entity Type:Organization
Organization Name:JENKINS HOUSING INC
Other - Org Name:CHAPEL PINES NORTH OR SOUTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ZELDA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOAGLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-534-2035
Mailing Address - Street 1:2410 RIKE DR
Mailing Address - Street 2:
Mailing Address - City:PINE BLUFF
Mailing Address - State:AR
Mailing Address - Zip Code:71603-3935
Mailing Address - Country:US
Mailing Address - Phone:870-534-2035
Mailing Address - Fax:870-534-2058
Practice Address - Street 1:3401 CHAPEL PINES DRIVE SOUTH
Practice Address - Street 2:
Practice Address - City:PINE BLUFF
Practice Address - State:AR
Practice Address - Zip Code:71603
Practice Address - Country:US
Practice Address - Phone:870-879-0311
Practice Address - Fax:870-879-0194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities