The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
NPI | 1174030860 |
NPI Entity Type | Organization |
Provider Name |
Thrive Pediatric Nursing Inc
Doing Business As |
Enumeration Date | September 30, 2009 |
Last Update Date | September 30, 2009 |
Certification Date | September 30, 2009 |
Provider Location Address | 7197 Sheridan Rd Ste 105, White Hall, AR, US |
Provider Mailing Address | 7197 Sheridan Rd Ste 105, White Hall, AR, US, 716023261 |
Gender | Male |
Is Sole Proprietor? | No |
Official Name | Michelle M Mantuano |
Official Position | PRESIDENT |
Phone | 870-247-6131 |
Taxonomy Code | |
Taxonomy Name | Home Health Agency |
Classification | |
Group | |
Description | A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
Taxonomy Code | Group | Classification | License No. | State | Primary? |
---|---|---|---|---|---|
AR5369 | No | ||||
No |
Identifier | Identifier State | Identifier Issuer | Type/Code |
---|---|---|---|
AR5480 | AR | CLASS A AND B DERIVITIVE | 01 |
224683738 | AR | MEDICAID | 05 |
235534514 | AR | MEDICAID | 05 |
AR5648 | AR | CLASS B (NEW) | 01 |
AR5369 | AR | ARKANSAS HOME HEALTH CLASS B | 01 |
Endpoint Type | Endpoint | Description | Use | Content Type | Affiliation | Location |
---|---|---|---|---|---|---|
CONNECT | thriveathomear.com | CSV | No | 7197 Sheridan Rd Ste 105, White Hall, AR, US |
NPI | Name | Taxonomy | Address |
---|---|---|---|
MRS. B.S., LAC Lakenya Danielle Mitchell Individual |
132 Lower Ridge Rd |
||
LPC Katelynn Young Individual |
1312 Donaghey Ave |
||
MD Ricky L Gable Individual |
Student in an Organized Health Care Education/Training Program |
4301 W Markham St # Slot837 |
|
MR. OTR/L Damon James Beauchamp Individual |
1414 S Elm St |
||
Motor Mouth Pediatric Therapy Services, Llc Organization |
307 Pennington Dr Ste A |
||
PA-C, EM-CAQ Chelsey Lee Burton Individual |
3000 Medical Center Pkwy |
||
LCSW Shari K Kimball Individual |
1185 Highway 412 W |
||
DR. MD Jonathan Bauer Individual |
Student in an Organized Health Care Education/Training Program |
4301 W Markham St # 515 |
|
Ryan Staten Individual |
2846 N Garland Ave |
||
Leah M Labarba Individual |
702 Hickory St |
||
PHARM D Natalie Denise Underwood Individual |
3104 W Kingshighway |
||
Kennedy Coker Individual |
2328 Washington Ave |
||
LCSW Jessica Kennington Individual |
4613 Parkway Dr Ste 7 |
||
Paige N Cromwell Individual |
2740 College Ave |
||
MD Ronald D. Schlabach Individual |
937 Highway 64 E |
||
Momentum Therapeutic Services Organization |
2402 Wildwood Ave Ste 115 |
||
Elisha D Cone Individual |
123 Pinewood Dr |
||
Agape Home Help Agency Organization |
116 Lake St |
||
OTR Delaney Willibey Individual |
3480 Landers Rd |
||
Vine And Root Llc Organization |
120 Meghan Ln |
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