Provider Demographics
NPI:1053941856
Name:SONDRA'S LOVE AND CARE IN-HOME CARE AND ADULT DAY CARE, LLC
Entity type:Organization
Organization Name:SONDRA'S LOVE AND CARE IN-HOME CARE AND ADULT DAY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR, RN
Authorized Official - Prefix:
Authorized Official - First Name:LASONDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-562-1988
Mailing Address - Street 1:3969 EASTERN SLOPE DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDER
Mailing Address - State:AR
Mailing Address - Zip Code:72002-1773
Mailing Address - Country:US
Mailing Address - Phone:501-541-5924
Mailing Address - Fax:844-247-0463
Practice Address - Street 1:6520 BASELINE RD
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72209-4732
Practice Address - Country:US
Practice Address - Phone:501-562-1988
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-21
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care