Charlie's Angels Transit, Llc, NPI 1740946292
PACE Provider Organization in Wynne, AR, US

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NPI number: what is it?

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 1740946292
NPI Entity Type Organization
Provider Name Charlie's Angels Transit, Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 667 Addison Dr, Wynne, AR, US
Provider Mailing Address 667 Addison Dr, Wynne, AR, US, 723961602
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name DR. Katrina Ermayne Harris
Official Position CEO
Phone 870-208-7113

Primary Taxonomy

Taxonomy Code

251T00000X

Taxonomy Name PACE Provider Organization
Classification

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

Group

Agencies

Description A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.

Other Organization Name

Charlie's Angels Transit, LLC
Doing Business As

Business Address

Charlie's Angels Transit, Llc
667 Addison Dr

Wynne, AR, US

Phone: 870-208-7113

Mailing Address

Charlie's Angels Transit, Llc
667 Addison Dr
Wynne, AR, US
ZIP 723961602
Phone: 870-208-7113

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