Organization · Type 2 NPI

Russellville Holdings LLC

Home Health Agency · Russellville, AR

NPI number 1881646644 Active

Practice location

1808 W Main St
Russellville, AR 72801-2724

Call (479) 968-2841 Map

Fax (479) 968-8189

Mailing address

1808 West Main St
Russellville, AR 72801-2724

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	4191 (AR)

Home Health Agency: 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 organ…

48 other providers at this address

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NPI record

NPI: 1881646644
Entity type: Organization (Type 2)
Issued: May 17, 2006
Last updated: Apr 11, 2022
Status: Active
Subpart: Yes of Russellville Holdings LLC

Other names

<unavail>
St. Mary's Regional Medical Center Home Health · doing business as
St. Mary's Regional Medical Center Home Health · doing business as

Authorized official

Terrance Dillon
Assistant Secretary
(502) 596-7220

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1881646644

Russellville Holdings LLC's National Provider Identifier is 1881646644, issued on May 17, 2006. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Russellville, AR. The record was last updated on Apr 11, 2022.