Provider Demographics
NPI:1285943555
Name:EMMA CHASE ACUTE & CHRONIC HOMECARE NURSING SERVICES LLC
Entity type:Organization
Organization Name:EMMA CHASE ACUTE & CHRONIC HOMECARE NURSING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EMMA
Authorized Official - Middle Name:CHASE
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, ACNP
Authorized Official - Phone:870-630-9438
Mailing Address - Street 1:2920 MARY DR
Mailing Address - Street 2:
Mailing Address - City:FORREST CITY
Mailing Address - State:AR
Mailing Address - Zip Code:72335-2515
Mailing Address - Country:US
Mailing Address - Phone:870-630-9438
Mailing Address - Fax:870-630-9438
Practice Address - Street 1:2920 MARY DR
Practice Address - Street 2:
Practice Address - City:FORREST CITY
Practice Address - State:AR
Practice Address - Zip Code:72335-2515
Practice Address - Country:US
Practice Address - Phone:870-630-9438
Practice Address - Fax:870-630-9438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-04
Last Update Date:2020-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA01603261Q00000X, 251J00000X, 314000000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
1386679843Medicare UPIN