Individual provider · Type 1 NPI
Eddie Charles Smith, HOME HEALTH PROVIDER
Assisted Living Facility (Mental Illness) · Little Rock, AR
Practice location
21005 Highway 365 S
Little Rock, AR 72206-8964
Other practice locations
- 5111 Roundtop Dr, North Little Rock, AR 72117-2187 · (501) 772-7824
- 5 W Avalon Dr, North Little Rock, AR 72118-5103 · (501) 772-7824
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist | 175T00000X | None listed |
| Lodging Provider | 177F00000X | None listed |
| Pharmacy Technician | 183700000X | None listed |
| Home Health Aide | 374U00000X | None listed |
| Home Health Agency | 251E00000X | None listed |
| Assisted Living Facility (Mental Illness) Primary | 3104A0625X | None listed |
| Dietary Manager | 132700000X | None listed |
| Personal Emergency Response Attendant | 146D00000X | None listed |
| Military Health Care Provider | 171000000X | None listed |
| Health & Wellness Coach | 171400000X | None listed |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Driver | 172A00000X | 904810414 (AR) |
| Meals Provider | 174200000X | None listed |
Assisted Living Facility (Mental Illness): A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
About NPI 1609622448
Eddie Charles Smith, HOME HEALTH PROVIDER's National Provider Identifier is 1609622448, issued on Apr 24, 2024. The primary taxonomy on file is Assisted Living Facility (Mental Illness) (3104A0625X), and the practice location is in Little Rock, AR. The record was last updated on Apr 24, 2024.