Crittenden Adult Care Services

LBN: Crittenden Adult Care Services
Crittenden Adult Care Services 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 Respite Care Facility / Respite Care, which is considered as the primary health care specialty. Crittenden Adult Care Services can be contacted via phone (870) 733-1235, or through Bass, Andrew via phone (901) 649-6116.

Contact Information

Primary practice address
718 E Broadway St West Memphis AR 72301-4449
Phone: (870) 733-1235
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bass, Andrew
Phone: (901) 649-6116

Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care 385H00000X 120 Arkansas

Profile Details

NPI number 1376614495
LBN Legal business name Crittenden Adult Care Services
DBA Doing business as
Authorized official Bass, Andrew
Entity Organization
Organization subpart 1 No
Enumeration date Nov 11th, 2006
Last updated Oct 23rd, 2009 - about 17 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 1376614495 NPPES
Arkansas MEDICAID 16010750
Arkansas MEDICAID 160110757
Arkansas MEDICAID 160109755
Arkansas MEDICAID 160108752

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