STAT HOME HEALTH - CENARK LLC NPI 1912464009

NPI Details

STAT HOME HEALTH - CENARK LLC is a home health in Little Rock, AR. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. STAT HOME HEALTH - CENARK LLC NPI is 1912464009. The provider is registered as an organization entity type.

The provider's business location address is:

15104 PRIDE VALLEY RD
LITTLE ROCK, AR
ZIP 72223-934
Phone: (501) 982-6115

The provider's authorized official is Patrick Mitchell .
The authorized official title is Manager and has the following contact phone number (501) 982-6115.

The CLIA number assigned to this NPI record is 04D0673308 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/25/2019 and was last updated on 1/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: