Booneville Human Development Center

LBN: State Of Arkansas
Booneville Human Development Center is an health care organization with primary practice located at 87 Reed Rd Highway 116 South, Booneville AR 72927. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. State Of Arkansas can be contacted via phone (479) 675-2121, or through Storey, Judy L. via phone (479) 675-1411.

Contact Information

Primary practice address
87 Reed Rd Highway 116 South Booneville AR 72927
Phone: (479) 675-2121
Fax: (479) 675-5820
Website:
Map and Directions
Authorized official contact:
Name: Storey, Judy L.
Phone: (479) 675-1411

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X Arkansas

Profile Details

NPI number 1801928627
LBN Legal business name State Of Arkansas
DBA Doing business as Booneville Human Development Center
Authorized official Storey, Judy L.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2007
Last updated Jun 25th, 2008 - about 18 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 1801928627 NPPES
Arkansas MEDICAID 109051213

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