Organization · Type 2 NPI

These Old Bonez Enterprises

Personal Care Attendant · Proctor, AR

NPI number 1063919892 Active

Practice location

2144 HWY147 South- Building A
Proctor, AR 72376-2346

Fax (901) 205-0597

Mailing address

PO Box 1298
West Memphis, AR 72303-1298

Specialties and licenses

TaxonomyCodeLicense
Local Education Agency (LEA) 251300000XNone listed
Case Management Agency 251B00000XNone listed
Home Health Agency 251E00000XNone listed
Nursing Care Agency 251J00000XNone listed
PACE Provider Organization 251T00000XNone listed
In Home Supportive Care Agency 253Z00000XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone listed
Mental Illness Community Based Residential Treatment Facility 320800000XNone listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000XNone listed
Non-emergency Medical Transport (VAN) 343900000XNone listed
Private Vehicle 347C00000XNone listed
Personal Care Attendant Primary 3747P1801XNone listed
Respite Care 385H00000XNone listed
Respite Care 385H00000XNone listed

Personal Care Attendant: An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

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About NPI 1063919892

These Old Bonez Enterprises's National Provider Identifier is 1063919892, issued on Apr 9, 2018. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in Proctor, AR. The record was last updated on May 7, 2021.