Provider Demographics
NPI:1952114001
Name:HEART N SOUL HOSPICE OF ARKANSAS LLC
Entity type:Organization
Organization Name:HEART N SOUL HOSPICE OF ARKANSAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-333-7880
Mailing Address - Street 1:51 CENTURY BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-3614
Mailing Address - Country:US
Mailing Address - Phone:678-333-7880
Mailing Address - Fax:
Practice Address - Street 1:203 W MOULTRIE DR
Practice Address - Street 2:
Practice Address - City:BLYTHEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72315-1812
Practice Address - Country:US
Practice Address - Phone:678-333-7880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-30
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based