Provider Demographics
NPI:1740912229
Name:HOME AGAIN DIAGNOSTICS, LLC
Entity type:Organization
Organization Name:HOME AGAIN DIAGNOSTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND CEO/ SLP
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ASHLEY
Authorized Official - Last Name:MATHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:870-951-0443
Mailing Address - Street 1:4767 LISBON RD
Mailing Address - Street 2:
Mailing Address - City:SMACKOVER
Mailing Address - State:AR
Mailing Address - Zip Code:71762-9771
Mailing Address - Country:US
Mailing Address - Phone:870-951-0443
Mailing Address - Fax:
Practice Address - Street 1:4767 LISBON RD
Practice Address - Street 2:
Practice Address - City:SMACKOVER
Practice Address - State:AR
Practice Address - Zip Code:71762-9771
Practice Address - Country:US
Practice Address - Phone:870-951-0443
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-24
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty