Provider Demographics
NPI:1336449735
Name:ALL-AMERICAN CARE OF LITTLE ROCK
Entity Type:Organization
Organization Name:ALL-AMERICAN CARE OF LITTLE ROCK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:A
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-224-4173
Mailing Address - Street 1:2600 BARROW RD
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72204-3335
Mailing Address - Country:US
Mailing Address - Phone:501-224-4173
Mailing Address - Fax:501-217-0445
Practice Address - Street 1:2600 BARROW RD
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72204-3335
Practice Address - Country:US
Practice Address - Phone:501-224-4173
Practice Address - Fax:501-217-0445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR181499311Medicaid
AR045432Medicare Oscar/Certification