Blackmon Care Home Care

LBN: Blackmon Care Home Care
Blackmon Care Home Care is an health care organization with primary practice located at 10 Roxbury Dr , Little Rock AR 72209-2133. The organization recently has only one registered license in Agencies / In Home Supportive Care, which is considered as the primary health care specialty. Blackmon Care Home Care can be contacted via phone (501) 256-6203, or through Blackmon, Lonzell via phone (501) 256-6203.

Contact Information

Primary practice address
10 Roxbury Dr Little Rock AR 72209-2133
Phone: (501) 256-6203
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Blackmon, Lonzell OWNER
Phone: (501) 256-6203

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1801445267
LBN Legal business name Blackmon Care Home Care
DBA Doing business as
Authorized official Blackmon, Lonzell OWNER
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2019
Last updated Sep 9th, 2019 - about 7 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 1801445267 NPPES
Arkansas MEDICAID 233644797
Arkansas MEDICAID 233639732

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