Organization
BAPTIST HEALTH
Active
Other names
BAPTIST HOME HEALTH NETWORK
Organization subpart
No
Provider details
NPI number
Authorized official
TROY WELLS (PRESIDENT)
(501) 202-2080
Entity
Organization
Contact information
Practice address
11001 EXECUTIVE CENTER DR STE 200, LITTLE ROCK, AR 72211-4393
(501) 202-7480
Mailing address
11001 EXECUTIVE CENTER DR STE 200, LITTLE ROCK, AR 72211-4393
(501) 202-7480
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
AR4202
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105405514
—
AR
01
—
17090
BCBS PROVIDER NUMBER
AR
Enumeration date
09/15/2006
Last updated
03/05/2024
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