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:
Map and Directions
Authorized official contact:
Name: Glover, Hapsy Advanced Practice Nurse (APN)
Phone: (501) 227-8020

Health care specialties

SpecialtyCodeLicense #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 12 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 1073914719 NPPES
Arkansas Other 1568763514 NPI
Arkansas MEDICAID 186702758 NPI

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