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1 SOURCE SENIOR CARE
NPI 1619501087
In Home Supportive Care in Fayetteville, AR

Active since February 25, 2020
1820 SHELBY LN STE A, FAYETTEVILLE, AR 72704(479) 443-7173(479) 443-0183 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 21, 2022, Feb 3, 2021, Feb 25, 2020 (3 updates tracked since 2020).

About 1 Source Senior Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

1 SOURCE SENIOR CARE (NPI 1619501087) is a healthcare organization registered as an in home supportive care in Fayetteville, Arkansas and active in the NPI registry since February 2020. The organization maintains a secondary practice location in Fort Smith and lists Cathy Robertson, Owner, as its authorized official.

NPPES Registry Identity

NPI1619501087
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business Name1 SOURCE SENIOR CARE
Location Address1820 SHELBY LN STE AFayetteville, AR 72704-5255
Mailing Address1820 Shelby Ln Ste AFayetteville, AR 72704-5255 · (479) 443-7173 · Fax (479) 443-0183
Phone(479) 443-7173
Fax(479) 443-0183
Organization SubpartNo
Authorized OfficialCathy RobertsonOwner · (479) 443-7173
Enumeration DateFebruary 25, 2020
Last NPPES UpdateMarch 26, 20243 updates tracked since enumeration
NPPES CertifiedMarch 26, 2024
✔ NPI 1619501087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedRespite CareTaxonomy 385H00000X
1820 SHELBY LN STE A, Fayetteville, AR 72704
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Secondary Practice Location 1

Location 14500 Rogers Ave Ste 3Fort Smith, AR 72903-3155 · Phone (479) 709-9005

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 1 Source Senior Care's NPI number?

The NPI number for 1 Source Senior Care is 1619501087. It was assigned to this organization in the NPPES registry on February 25, 2020.

Where is 1 Source Senior Care located?

1 Source Senior Care is located at 1820 Shelby Ln Ste A, Fayetteville, AR 72704. The listed phone number is (479) 443-7173.

What is 1 Source Senior Care's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for 1 Source Senior Care was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.