Provider Demographics
NPI:1679896229
Name:IN HOME CAREGIVERS OF NE ARKANSAS LLC
Entity type:Organization
Organization Name:IN HOME CAREGIVERS OF NE ARKANSAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/REGISTERED AGENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:RUBY
Authorized Official - Middle Name:A
Authorized Official - Last Name:HUFFINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-530-4278
Mailing Address - Street 1:PO BOX 17014
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72403-6718
Mailing Address - Country:US
Mailing Address - Phone:870-530-4278
Mailing Address - Fax:
Practice Address - Street 1:1411 FRANKLIN ST
Practice Address - Street 2:#6
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-5215
Practice Address - Country:US
Practice Address - Phone:870-530-4278
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-11
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care