Provider Demographics
NPI:1750060687
Name:HOME HEALTH CARE AGENCY OF ARKANSAS, LLC
Entity type:Organization
Organization Name:HOME HEALTH CARE AGENCY OF ARKANSAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:G
Authorized Official - Last Name:LOVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-553-1953
Mailing Address - Street 1:10310 WEST MARKHAM STREET
Mailing Address - Street 2:SUITE #193
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-6528
Mailing Address - Country:US
Mailing Address - Phone:501-553-1953
Mailing Address - Fax:
Practice Address - Street 1:10310 WEST MARKHAM STREET
Practice Address - Street 2:SUITE #193
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6528
Practice Address - Country:US
Practice Address - Phone:501-553-1953
Practice Address - Fax:501-943-1607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management