Provider Demographics
NPI:1972641660
Name:HOME HEALTH PROFESSIONALS, INC
Entity Type:Organization
Organization Name:HOME HEALTH PROFESSIONALS, INC
Other - Org Name:HOME HEALTH PROFESSIONALS & HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-762-1825
Mailing Address - Street 1:PO BOX 704
Mailing Address - Street 2:
Mailing Address - City:BLYTHEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72316-0704
Mailing Address - Country:US
Mailing Address - Phone:870-762-1825
Mailing Address - Fax:870-762-2299
Practice Address - Street 1:2222 SPENCE CIR
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-7220
Practice Address - Country:US
Practice Address - Phone:870-932-7630
Practice Address - Fax:870-932-9422
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOME HEALTH PROFESSIONALS INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-02
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAR4344251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR160411514Medicaid
17116OtherBCBS
AR160411514Medicaid