Evgueni Roudachevski, D.O.
LBN: Evgueni Roudachevski, D.O.
Evgueni Roudachevski, D.O. is an health care organization with primary practice located at 11912 Kanis Rd Ste F2 , Little Rock AR 72211-3771. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty.
Evgueni Roudachevski, D.O. can be contacted via phone (501) 227-8020, or through Glover, Hapsy via phone (501) 227-8020.
Contact Information
Primary practice address
11912 Kanis Rd Ste F2
Little Rock AR 72211-3771
Phone: (501) 227-8020
Fax: (501) 227-8826
Website:
Authorized official contact:
Name: Glover, Hapsy Advanced Practice Nurse (APN)
Phone: (501) 227-8020
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | A03199 | Arkansas |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | A03199 | Arkansas |
Profile Details
| NPI number | 1073914719 |
|---|---|
| LBN Legal business name | Evgueni Roudachevski, D.O. |
| DBA Doing business as | |
| Authorized official | Glover, Hapsy Advanced Practice Nurse (APN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 12th, 2014 |
| Last updated | Sep 12th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073914719 | NPPES |
| Arkansas | Other | 1568763514 | NPI |
| Arkansas | MEDICAID | 186702758 | NPI |
Popular Providers
-
Little Rock Enrichment Center, Inc.
13003 Stacy Ln , Little Rock AR 72211-3238 -
Lafayette Manor, Inc
147 Lafayette Manor Road , Uniontown PA 15401-8900 -
Healthy Living Ar
1400 Main St Ste B , Little Rock AR 72202-5036 -
Emeritus Corporation
1 Chenal Heights Dr , Little Rock AR 72223-3999 -
Lois Archable'S Education Services, Llc
1818 S Jackson St , Little Rock AR 72204-2834 -
United Methodist Homes, Inc.
3124 Sw Landsdown , Topeka KS 66614-6005 -
Emerichenal, Llc
1 Chenal Heights Dr , Little Rock AR 72223-3999 -
The Manor
9800 Maumelle Blvd , North Little Rock AR 72113-7027