ARISA HEALTH, INC.
Complete NPI Record 1306532767
Community/Behavioral Health in Jonesboro, AR
Active since April 17, 2023CLIA 04D2021886 · Waiver
Complete NPI Dataset
This page contains the complete raw NPPES record for Arisa Health, Inc. (NPI 1306532767), a community/behavioral health organization in Jonesboro, AR. All 29 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1306532767 Field 1/29
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/29
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/29
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: ARISA HEALTH, INC. Field 4/29
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider First Line Business Mailing Address: 2400 S 48TH ST Field 5/29
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: SPRINGDALE Field 6/29
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: AR Field 7/29
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 727626683 Field 8/29
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 9/29
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 4797502020 Field 10/29
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider First Line Business Practice Location Address: 3700 ACCESS RD Field 11/29
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: JONESBORO Field 12/29
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: AR Field 13/29
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 724018225 Field 14/29
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 15/29
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 8709724000 Field 16/29
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 8709724968 Field 17/29
- The fax number associated with the location address of the provider being identified.
- Authorized Official Last Name: BUNCH Field 20/29
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: KELLY Field 21/29
- The first name of the authorized official.
- Authorized Official Title or Position: CREDENTIALING SUPERVISOR Field 22/29
- The title or position of the authorized official.
- Authorized Official Telephone Number: 4797255115 Field 23/29
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 251S00000X Field 24/29
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 25/29
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Organization Subpart: Y Field 26/29
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
- Parent Organization LBN: ARISA HEALTH, INC. Field 27/29
- The Legal Business Name (LBN) of the parent organization, if the provider is a subpart of a larger entity. This field identifies the official registered name of the parent company or organization under which the provider operates.
- Parent Organization TIN: Not available Field 28/29
- The Taxpayer Identification Number (TIN) of the parent organization, provided when the provider is a subpart of a larger entity. This field identifies the federal tax ID used by the parent organization for official and billing purposes.
Secondary Practice Locations 7
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
3601 Richards Rd
Location 1/7N Little Rock, AR 72117-2954 · Phone (501) 221-1843 · Fax (501) 221-2376
490 Broadmoor Dr
Location 2/7Brinkley, AR 72021-2057 · Phone (870) 734-3202
3240 Stermer Rd
Location 3/7Conway, AR 72034-5532 · Phone (501) 327-1701
4451 N Washington St
Location 4/7Forrest City, AR 72335-7711 · Phone (870) 630-3800 · Fax (870) 630-3892
211 Missouri
Location 5/7Helena, AR 72342-3707 · Phone (870) 338-3363 · Fax (870) 338-3354
801 Newman Dr
Location 6/7Helena, AR 72342-8950 · Phone (870) 338-3900 · Fax (870) 338-3900
602 David St
Location 7/7Corning, AR 72422-7268 · Phone (870) 857-3655 · Fax (870) 857-3637
No registry entries match your active lookup criteria.
