Provider Demographics
NPI:1134588601
Name:ALLCARE HOMECARE LLC
Entity type:Organization
Organization Name:ALLCARE HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BOLING
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:870-933-2273
Mailing Address - Street 1:521 SOUTHWEST DR
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-5870
Mailing Address - Country:US
Mailing Address - Phone:870-933-2273
Mailing Address - Fax:
Practice Address - Street 1:521 SOUTHWEST DR
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-5870
Practice Address - Country:US
Practice Address - Phone:870-933-2273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-12
Last Update Date:2016-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management