Provider Demographics
NPI:1356339915
Name:HEALTHCARE MEDICAL & RESPIRATORY CARE INC
Entity type:Organization
Organization Name:HEALTHCARE MEDICAL & RESPIRATORY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-609-9500
Mailing Address - Street 1:PO BOX 21177
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71903-1177
Mailing Address - Country:US
Mailing Address - Phone:501-609-9500
Mailing Address - Fax:501-627-0704
Practice Address - Street 1:618 HOBSON AVE
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-3505
Practice Address - Country:US
Practice Address - Phone:501-609-9500
Practice Address - Fax:501-627-0704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-07
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR21538126001332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO626042907Medicaid
AR139715716Medicaid
AR139715716Medicaid