# MOMBA HOME CARE ARKANSAS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225875347
- **Authorized official:** ELAZAR HUISMAN (NPI MANAGER)
- **Authorized official phone:** (404) 418-7484

## Contact information

- **Practice address:** 400 W CAPITOL AVE STE 1700, LITTLE ROCK, AR 72201-3438
- **Practice address phone:** (800) 553-3495
- **Mailing address:** 400 PERIMETER CENTER TER NE STE 300, ATLANTA, GA 30346-1201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/15/2024
- **Last updated:** 04/21/2026