ARKANSAS EXTENDED CARE, LLC NPI 1750782744

Home Health in Marion, AR

NPI 1750782744 Organization Home Health

About ARKANSAS EXTENDED CARE, LLC

Arkansas Extended Care, Llc is a provider established in Marion, Arkansas specializing in home health. The NPI number of Arkansas Extended Care, Llc is 1750782744 and was assigned on September 2014. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Nicholas Gachassin Iii (Executive Vice President)

NPI

1750782744

Provider NameARKANSAS EXTENDED CARE, LLC
Provider Location Address1227 STATE HIGHWAY 77 STE 1 MARION, AR 72364
Provider Mailing AddressPO BOX 51266 LAFAYETTE, LA 70505
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-09-2014
Last Update Date04-20-2021


Primary Taxonomy

Taxonomy Code251E00000X
ClassificationHome Health
TypeAgencies
Taxonomy DescriptionA public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Business Address

ARKANSAS EXTENDED CARE, LLC
1227 STATE HIGHWAY 77 STE 1
MARION, AR
ZIP 72364
Phone: (870) 732-3353
Fax: (870) 732-9382

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Mailing Address

ARKANSAS EXTENDED CARE, LLC
PO BOX 51266
LAFAYETTE, LA
ZIP 70505
Phone: (337) 233-1307
Fax: (337) 233-5764



Authorized Official

Authorized Official Name NICHOLAS GACHASSIN III
Authorized Official TitleEXECUTIVE VICE PRESIDENT
Authorized Official Phone(337) 233-1307

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1251J00000XAgenciesNursing CareNo

Taxonomy Description: a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The 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 Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type 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 (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.