Crittenden Adult Care Services L.L.C.

LBN: Crittenden Adult Care Services L.L.C.
Crittenden Adult Care Services L.L.C. is an health care organization with primary practice located at 718 E Broadway St , West Memphis AR 72301-4449. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. Crittenden Adult Care Services L.L.C. can be contacted via phone (870) 733-1235, or through Bass, Andrew via phone (870) 733-1235.

Contact Information

Primary practice address
718 E Broadway St West Memphis AR 72301-4449
Fax: (870) 733-0228
Website:
Authorized official contact:
Name: Bass, Andrew

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X 120 Arkansas

Profile Details

NPI number 1659595551
LBN Legal business name Crittenden Adult Care Services L.L.C.
DBA Doing business as
Authorized official Bass, Andrew
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2007
Last updated Jun 10th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659595551 NPPES
Arkansas MEDICAID 160110757
Arkansas MEDICAID 161772765
Arkansas MEDICAID 164858798
Arkansas MEDICAID 160109755
Arkansas MEDICAID 160108752

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