Organization
LITTLE ROCK HOME HEALTH AGENCY INC
Active
Other names
Care Network of Little Rock
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE KUMARICH RN, MS, MBA (NATIONAL CONTRACTS)
(847) 303-5300
Entity
Organization
Contact information
Practice address
11524 N RODNEY PARHAM RD, #1, LITTLE ROCK, AR 72212-4187
(501) 223-3333
(501) 228-0252
Mailing address
2401 S PLUM GROVE RD, PALATINE, IL 60067
(847) 303-5300
(847) 303-5376
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
AR4090
AR
251F00000X
Home Infusion Agency
AR4768
AR
251J00000X
Nursing Care Agency
AR4768
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137740514
—
AR
05
—
137741738
—
AR
05
—
137742732
—
AR
05
—
138499757
—
AR
05
—
138506752
—
AR
05
—
138507750
—
AR
05
—
139100742
—
AR
05
—
141492765
—
AR
05
—
14192765
—
AR
Enumeration date
04/20/2006
Last updated
04/12/2013
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