home health agencies provider list & license verification - Arkansas ...
home health agencies provider list & license verification - Arkansas ...
home health agencies provider list & license verification - Arkansas ...
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Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
County Located: <strong>Arkansas</strong><br />
Area Agency on Aging of Southeast <strong>Arkansas</strong>, Inc. - <strong>Arkansas</strong> County<br />
807 North Main<br />
Stuttgart, AR 72160<br />
Phone No.: (870) 673-7146<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care, Extended Care<br />
& Personal Care Services<br />
License No.: AR4576 Cert. Card No.: 18613<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: <strong>Arkansas</strong><br />
<strong>Arkansas</strong> County Health Unit<br />
1616 South Madison<br />
DeWitt, AR 72042<br />
Phone No.: (870) 946-2662<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4040 Cert. Card No.: 18614<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4040(B) Cert. Card No.: 18876<br />
Expiration Date: 12/31/2012<br />
County Located: <strong>Arkansas</strong><br />
<strong>Arkansas</strong> County Health Unit<br />
1602 North Buerkle<br />
Stuttgart, AR 72160<br />
Phone No.: (870) 673-6601<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4028 Cert. Card No.: 18615<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4028(B) Cert. Card No.: 18867<br />
Expiration Date: 12/31/2012<br />
County Located: <strong>Arkansas</strong><br />
DeWitt Hospital Home Health Agency<br />
1626 South Madison, Suite A<br />
DeWitt, AR 72042<br />
Phone No.: (870) 946-2301<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4748 Cert. Card No.: 18616
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
Derivative B License Type: Derivative B Home Health Agency Providing Personal Care Services<br />
License No.: AR4748(B) Cert. Card No.: 18930<br />
Expiration Date: 12/31/2012<br />
County Located: Ashley<br />
ACMC Family Home Health<br />
211 Pine Street<br />
Crossett, AR 71635<br />
Phone No.: (870) 364-5555<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4428 Cert. Card No.: 18617<br />
Derivative B License Type: Derivative B Home Health Agency Providing Personal Care Services<br />
License No.: AR4428(B) Cert. Card No.: 18902<br />
Expiration Date: 12/31/2012<br />
County Located: Ashley<br />
Area Agency on Aging of Southeast <strong>Arkansas</strong>, Inc. - Ashley County<br />
208 Alabama<br />
Crossett, AR 71635<br />
Phone No.: (870) 364-7788<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care, Extended Care<br />
& Personal Care Services<br />
License No.: AR3509 Cert. Card No.: 18618<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Ashley<br />
Ashley County Health Unit<br />
117 Pine Street<br />
Crossett, AR 71635-2905<br />
Phone No.: (870) 364-4035<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4726 Cert. Card No.: 18619<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4726(B) Cert. Card No.: 18924<br />
Expiration Date: 12/31/2012<br />
County Located: Ashley<br />
Ashley County Health Unit<br />
401 North Cherry Street<br />
Hamburg, AR 71646
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
Phone No.: (870) 853-8980<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR3972 Cert. Card No.: 18620<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR3972(B) Cert. Card No.: 18834<br />
Expiration Date: 12/31/2012<br />
County Located: Baxter<br />
Baxter County Health Unit<br />
213 East Sixth Street, Suite 40<br />
Mountain Home, AR 72653<br />
Phone No.: (870) 424-6655<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR3973 Cert. Card No.: 18621<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR3973(B) Cert. Card No.: 18835<br />
Expiration Date: 12/31/2012<br />
County Located: Baxter<br />
Baxter Regional Medical Center Home Health<br />
701 Burnett Drive<br />
Mountain Home, AR 72653<br />
Phone No.: (870) 508-1790<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Personal<br />
Care Services<br />
License No.: AR4722 Cert. Card No.: 18622<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Baxter<br />
Home Bound Medical<br />
358 Highway 5 North<br />
Mountain Home, AR 72653<br />
Phone No.: (870) 425-2446<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4607 Cert. Card No.: 18623<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care, Extended Care & Personal Care Services<br />
License No.: AR4607(B) Cert. Card No.: 18915<br />
Expiration Date: 12/31/2012
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
County Located: Washington<br />
Alliance Home Health of Benton County<br />
540 East Appleby Road, Suite 103<br />
Fayetteville, AR 72703<br />
Phone No.: 479-636-2611<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care, Extended Care<br />
& Personal Care Services<br />
License No.: AR4782 Cert. Card No.: 18489<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Benton<br />
CareNetwork of Lowell<br />
2860 West Walnut Avenue<br />
Rogers, AR 72756<br />
Phone No.: (479) 621-8300<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care, Extended Care<br />
& Personal Care Services<br />
License No.: AR4324 Cert. Card No.: 18625<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Benton<br />
Mercy Home Health<br />
1200 West Walnut Street, Suite 1800<br />
Rogers, AR 72756-3541<br />
Phone No.: (479) 936-2978<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Personal<br />
Care Services<br />
License No.: AR4608 Cert. Card No.: 18626<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Boone<br />
Area Agency on Aging of Northwest <strong>Arkansas</strong>, Inc.<br />
1510 Rock Springs Road<br />
Harrison, AR 72601<br />
Phone No.: (870) 741-1144<br />
License Type: Class B Home Health Agency Providing Personal Care Services
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
License No.: AR3878 Cert. Card No.: 18627<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Boone<br />
Atlis, Inc.<br />
320 West Bower<br />
Harrison, AR 72601<br />
Phone No.: (870) 741-7512<br />
License Type: Class B Home Health Agency Providing Intermittent Skilled Care, Extended<br />
Care* & Personal Care Services<br />
License No.: AR4693 Cert. Card No.: 18628<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Boone<br />
Boone County Health Unit<br />
1622 Campus Drive<br />
Harrison, AR 72601<br />
Phone No.: (870) 743-6001<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR3974 Cert. Card No.: 18629<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR3974(B) Cert. Card No.: 18836<br />
Expiration Date: 12/31/2012<br />
County Located: Boone<br />
Home Health Agency of North <strong>Arkansas</strong> Regional Medical Center<br />
825 North Spring<br />
Harrison, AR 72601<br />
Phone No.: (870) 414-4100<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Personal<br />
Care Services<br />
License No.: AR3576 Cert. Card No.: 18630<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Bradley<br />
Area Agency on Aging of Southeast <strong>Arkansas</strong>, Inc. - Bradley County
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
1105 East Church Street<br />
Warren, AR 71671-3512<br />
Phone No.: (870) 226-5769<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care, Extended Care<br />
& Personal Care Services<br />
License No.: AR4736 Cert. Card No.: 18631<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Bradley<br />
Bradley County Health Unit<br />
208 North Bragg Street<br />
Warren, AR 71671<br />
Phone No.: (870) 226-6990<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4275 Cert. Card No.: 18632<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4275(B) Cert. Card No.: 18889<br />
Expiration Date: 12/31/2012<br />
County Located: Bradley<br />
Bradley County Medical Center Home Health<br />
204 Bragg Street<br />
Warren, AR 71671<br />
Phone No.: (870) 226-3790<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Personal<br />
Care Services<br />
License No.: AR4274 Cert. Card No.: 18633<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Calhoun<br />
Calhoun County Health Unit<br />
1119 Prestress Drive<br />
Hampton, AR 71744<br />
Phone No.: (870) 798-2808<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4037 Cert. Card No.: 18634<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
License No.: AR4037(B) Cert. Card No.: 18874<br />
Expiration Date: 12/31/2012<br />
County Located: Carroll<br />
Carroll County Health Unit<br />
402 Hailey Road<br />
Berryville, AR 72616<br />
Phone No.: (870) 423-2506<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR3976 Cert. Card No.: 18635<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR3976(B) Cert. Card No.: 18837<br />
Expiration Date: 12/31/2012<br />
County Located: Carroll<br />
Northwest <strong>Arkansas</strong> HomeCare<br />
2 Parkcliff Drive<br />
Holiday Island, AR 72631<br />
Phone No.: (479) 253-5554<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4471 Cert. Card No.: 18636<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Carroll<br />
St. John's Home Health<br />
804 West Freeman, Suite 4<br />
Berryville, AR 72616<br />
Phone No.: 870-423-5255<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4614 Cert. Card No.: 18637<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Chicot<br />
Area Agency on Aging of Southeast <strong>Arkansas</strong>, Inc. - Chicot County<br />
929 Lakeside Street<br />
Lake Village, AR 71653<br />
Phone No.: (870) 265-3841
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care, Extended Care<br />
& Personal Care Services<br />
License No.: AR4728 Cert. Card No.: 18638<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Chicot<br />
Chicot County Health Unit<br />
608 Highway 65 & 82 South, Suite A<br />
Lake Village, AR 71653<br />
Phone No.: (870) 265-3986<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4407 Cert. Card No.: 18639<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4407(B) Cert. Card No.: 18897<br />
Expiration Date: 12/31/2012<br />
County Located: Chicot<br />
Chicot Memorial Medical Center Home Health Agency<br />
2729 South Highway 65 and 82<br />
Lake Village, AR 71653-6136<br />
Phone No.: (870) 265-5351<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4650 Cert. Card No.: 18640<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Clark<br />
Area Agency on Aging of West Central <strong>Arkansas</strong><br />
121 North 25th Street<br />
Arkadelphia, AR 71923<br />
Phone No.: (870) 246-8708<br />
License Type: Class B Home Health Agency Providing Personal Care Services<br />
License No.: AR4341 Cert. Card No.: 18641<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Clark<br />
Baptist Health Home Health - Arkadelphia
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
3050 Twin Rivers Drive<br />
Arkadelphia, AR 71923<br />
Phone No.: (870) 245-1040<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Personal<br />
Care Services<br />
License No.: AR4133 Cert. Card No.: 18642<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Clark<br />
Clark County Health Unit<br />
605 South Tenth Street<br />
Arkadelphia, AR 71923<br />
Phone No.: (870) 246-4078<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR3978 Cert. Card No.: 18643<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR3978(B) Cert. Card No.: 18838<br />
Expiration Date: 12/31/2012<br />
County Located: Clay<br />
Clay County Health Unit<br />
1009 South Garfield<br />
Piggott, AR 72454<br />
Phone No.: (870) 598-5566<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4038 Cert. Card No.: 18644<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4038(B) Cert. Card No.: 18875<br />
Expiration Date: 12/31/2012<br />
County Located: Clay<br />
East <strong>Arkansas</strong> Area Agency on Aging, Inc. - Clay County<br />
215 North Second Street<br />
Piggott, AR 72454<br />
Phone No.: (870) 598-2939<br />
License Type: Class B Home Health Agency Providing Personal Care Services<br />
License No.: AR3325 Cert. Card No.: 18645<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012<br />
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
County Located: Clay<br />
Piggott Community Hospital Home Health Agency<br />
1206 Gordon Duckworth Drive<br />
Piggott, AR 72454<br />
Phone No.: (870) 598-3133<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR3945 Cert. Card No.: 18646<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Cleburne<br />
Baptist Health Home Health - Heber Springs<br />
1709 West Main<br />
Heber Springs, AR 72543<br />
Phone No.: (501) 206-0025<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Personal<br />
Care Services<br />
License No.: AR4203 Cert. Card No.: 18647<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Cleburne<br />
Cleburne County Health Unit<br />
Judge Claude Dill Office Complex<br />
2319 Highway 110 West, Suite C<br />
Heber Springs, AR 72543<br />
Phone No.: (501) 362-4602<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4654 Cert. Card No.: 18648<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4654(B) Cert. Card No.: 18917<br />
Expiration Date: 12/31/2012<br />
County Located: Cleburne<br />
White River Area Agency on Aging<br />
1024 Wilburn Road<br />
Heber Springs, AR 72543<br />
Phone No.: (870) 362-8615
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
License Type: Class B Home Health Agency Providing Personal Care Services<br />
License No.: AR4750 Cert. Card No.: 18649<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Cleveland<br />
Area Agency on Aging of Southeast <strong>Arkansas</strong>, Inc. - Cleveland County<br />
402 North Main Street, Suite #3<br />
Rison, AR 71665<br />
Phone No.: (870) 325-7455<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care, Extended Care<br />
& Personal Care Services<br />
License No.: AR4496 Cert. Card No.: 18650<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Cleveland<br />
Cleveland County Health Unit<br />
409 East Magnolia Street<br />
Rison, AR 71665<br />
Phone No.: (870) 325-6132<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4033 Cert. Card No.: 18651<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4033(B) Cert. Card No.: 18871<br />
Expiration Date: 12/31/2012<br />
County Located: Columbia<br />
Columbia County Health Unit<br />
207 West Jefferson<br />
Magnolia, AR 71753<br />
Phone No.: (870) 234-7183<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4725 Cert. Card No.: 18652<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4725(B) Cert. Card No.: 18923<br />
Expiration Date: 12/31/2012<br />
County Located: Columbia
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
Magnolia Home Health Agency<br />
833 North Washington<br />
Magnolia, AR 71753<br />
Phone No.: (870) 235-3000<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4639 Cert. Card No.: 18653<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Columbia<br />
Southwest <strong>Arkansas</strong> Development Council Home Health - Columbia County<br />
1501 North Vine Street<br />
Magnolia, AR 71754<br />
Phone No.: (870) 234-7752<br />
License Type: Class B Home Health Agency Providing Personal Care Services<br />
License No.: AR4121 Cert. Card No.: 18654<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Conway<br />
Area Agency on Aging of West Central <strong>Arkansas</strong><br />
1519-A East Harding Street<br />
Morrilton, AR 72110<br />
Phone No.: (501) 354-0484<br />
License Type: Class B Home Health Agency Providing Personal Care Services<br />
License No.: AR4690 Cert. Card No.: 18655<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Conway<br />
Conway County Health Unit<br />
100 Hospital Drive<br />
Morrilton, AR 72110<br />
Phone No.: (501) 354-5434<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR3981 Cert. Card No.: 18656<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR3981(B) Cert. Card No.: 18839<br />
Expiration Date: 12/31/2012
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
County Located: Conway<br />
Petit Jean Home Health<br />
4 Hospital Drive<br />
Morrilton, AR 72110-4510<br />
Phone No.: (501) 354-6262<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4770 Cert. Card No.: 18475<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4770(B) Cert. Card No.: 18476<br />
Expiration Date: 12/31/2012<br />
County Located: Craighead<br />
Craighead County Health Unit<br />
611 East Washington Avenue, Suite C<br />
Jonesboro, AR 72401<br />
Phone No.: (870) 933-8734<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4384 Cert. Card No.: 18658<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4384(B) Cert. Card No.: 18895<br />
Expiration Date: 12/31/2012<br />
County Located: Craighead<br />
East <strong>Arkansas</strong> Area Agency on Aging, Inc. - Craighead County<br />
Fountain Square, 2005 East Highland Drive<br />
Jonesboro, AR 72401<br />
Phone No.: (870) 930-2202<br />
License Type: Class B Home Health Agency Providing Personal Care Services<br />
License No.: AR3442 Cert. Card No.: 18659<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Craighead<br />
Extended Family Enterprises, Inc.<br />
2710 Phillips Drive<br />
Jonesboro, AR 72401<br />
Phone No.: (870) 932-7463<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Extended<br />
Care Services
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
License No.: AR4224 Cert. Card No.: 18660<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Craighead<br />
Home Health Professionals and Hospice<br />
2222 Spence Circle<br />
Jonesboro, AR 72401<br />
Phone No.: (870) 932-7630<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4515 Cert. Card No.: 18661<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Craighead<br />
St. Bernards Home Care<br />
1726 Marie Circle<br />
Jonesboro, AR 72401<br />
Phone No.: (870) 972-4502<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care, Extended Care<br />
& Personal Care Services<br />
License No.: AR3324 Cert. Card No.: 18662<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Crawford<br />
Amedisys Home Health Care of <strong>Arkansas</strong><br />
2700 Bryan Road, Suite A<br />
Van Buren, AR 72956-5059<br />
Phone No.: (479) 474-4892<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Personal<br />
Care Services<br />
License No.: AR4358 Cert. Card No.: 18663<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Crittenden<br />
Crittenden County Health Unit<br />
901 North Seventh Street
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
West Memphis, AR 72301<br />
Phone No.: (870) 732-3764<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR3983 Cert. Card No.: 18664<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR3983(B) Cert. Card No.: 18840<br />
Expiration Date: 12/31/2012<br />
County Located: Crittenden<br />
Crittenden Regional Hospital - Home Health West Memphis<br />
200 Tyler, CMH Pavilion, Suite 1<br />
West Memphis, AR 72301<br />
Phone No.: (870) 732-7777<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Extended<br />
Care Services<br />
License No.: AR4398 Cert. Card No.: 18665<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Crittenden<br />
East <strong>Arkansas</strong> Area Agency on Aging, Inc. - Crittenden County<br />
720 Calvin Avery, Suite B & D<br />
West Memphis, AR 72301<br />
Phone No.: (870) 735-2262<br />
License Type: Class B Home Health Agency Providing Personal Care Services<br />
License No.: AR3755 Cert. Card No.: 18666<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Crittenden<br />
ProCare<br />
308 South Rhodes<br />
West Memphis, AR 72301<br />
Phone No.: (870) 732-3353<br />
License Type: Class B Home Health Agency Providing Intermittent Skilled Care & Extended<br />
Care Services<br />
License No.: AR4110 Cert. Card No.: 18667<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
County Located: Cross<br />
Cross County Health Unit<br />
701 Julia Avenue East<br />
Wynne, AR 72396-3515<br />
Phone No.: (870) 238-2101<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4727 Cert. Card No.: 18668<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4727(B) Cert. Card No.: 18925<br />
Expiration Date: 12/31/2012<br />
County Located: Cross<br />
CrossRidge Community Hospital Home Health Agency<br />
732 East Eldridge Avenue<br />
Wynne, AR 72396<br />
Phone No.: (870) 238-3300<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR3891 Cert. Card No.: 18669<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Cross<br />
East <strong>Arkansas</strong> Area Agency on Aging, Inc. - Cross County<br />
1421 South Falls<br />
Wynne, AR 72396<br />
Phone No.: (870) 238-3816<br />
License Type: Class B Home Health Agency Providing Personal Care Services<br />
License No.: AR3444 Cert. Card No.: 18670<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Dallas<br />
Dallas County Health Unit<br />
201 North Spring Street<br />
Fordyce, AR 71742<br />
Phone No.: (870) 352-2911<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4385 Cert. Card No.: 18671
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4385(B) Cert. Card No.: 18896<br />
Expiration Date: 12/31/2012<br />
County Located: Dallas<br />
Dallas County Medical Center Home Care<br />
300 North Clifton Street<br />
Fordyce, AR 71742-3055<br />
Phone No.: (870) 352-2603<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4546 Cert. Card No.: 18672<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Dallas<br />
Southwest <strong>Arkansas</strong> Development Council, Inc. Home Health Agency<br />
608 Moro<br />
Fordyce, AR 71742<br />
Phone No.: (870) 352-5633<br />
License Type: Class B Home Health Agency Providing Personal Care Services<br />
License No.: AR4710 Cert. Card No.: 18673<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Desha<br />
Area Agency on Aging of Southeast <strong>Arkansas</strong>, Inc. - Desha County<br />
2902 Highway 65 North<br />
McGehee, AR 71654<br />
Phone No.: (870) 222-6960<br />
License Type: Class B Home Health Agency Providing Extended Care & Personal Care Services<br />
License No.: AR4364 Cert. Card No.: 18674<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Desha<br />
Delta Memorial Hospital Home Health Agency<br />
803 Highway 65 South<br />
Dumas, AR 71639<br />
Phone No.: (870) 382-8184
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4590 Cert. Card No.: 18675<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Desha<br />
Desha County Health Unit<br />
751 Highway 65 South<br />
Dumas, AR 71639<br />
Phone No.: (888) 275-2580<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4043 Cert. Card No.: 18676<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4043(B) Cert. Card No.: 18878<br />
Expiration Date: 12/31/2012<br />
County Located: Desha<br />
Southeast <strong>Arkansas</strong> Home Health Agency<br />
901 South Third Street<br />
McGehee, AR 71654-2563<br />
Phone No.: (870) 222-3806<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4658 Cert. Card No.: 18677<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4658(B) Cert. Card No.: 18918<br />
Expiration Date: 12/31/2012<br />
County Located: Drew<br />
Area Agency on Aging of Southeast <strong>Arkansas</strong>, Inc. - Drew County<br />
110 East Gaines<br />
Monticello, AR 71657<br />
Phone No.: (870) 367-9873<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care, Extended Care<br />
& Personal Care Services<br />
License No.: AR3511 Cert. Card No.: 18678<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Drew
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
Drew County Health Unit<br />
600 C Highway 425 North<br />
Monticello, AR 71655<br />
Phone No.: (870) 367-0283<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4415 Cert. Card No.: 18679<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4415(B) Cert. Card No.: 18900<br />
Expiration Date: 12/31/2012<br />
County Located: Drew<br />
Drew Memorial Hospital Home Health Agency<br />
821 Highway 278 East<br />
Monticello, AR 71655<br />
Phone No.: (870) 367-2411<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Personal<br />
Care Services<br />
License No.: AR4466 Cert. Card No.: 18680<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Faulkner<br />
Conway Regional HomeCare Services<br />
2134 Robinson<br />
Conway, AR 72034<br />
Phone No.: (501) 329-9377<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Extended<br />
Care Services<br />
License No.: AR4068 Cert. Card No.: 18681<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care, Extended Care & Personal Care Services<br />
License No.: AR4068(B) Cert. Card No.: 18880<br />
Expiration Date: 12/31/2012<br />
County Located: Faulkner<br />
Faulkner County Health Unit<br />
1101 Museum Road, Suite 7<br />
Conway, AR 72032<br />
Phone No.: (501) 450-4959<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4413 Cert. Card No.: 18682
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4413(B) Cert. Card No.: 18898<br />
Expiration Date: 12/31/2012<br />
County Located: Franklin<br />
Visiting Nurses Agency of Western <strong>Arkansas</strong>, Inc.<br />
257 Airport Road, Suite D<br />
Ozark, AR 72949-9266<br />
Phone No.: (479) 667-4870<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Extended<br />
Care Services<br />
License No.: AR4729 Cert. Card No.: 18683<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care, Extended Care & Personal Care Services<br />
License No.: AR4729(B) Cert. Card No.: 18926<br />
Expiration Date: 12/31/2012<br />
County Located: Fulton<br />
Fulton County Health Unit<br />
510 South Main Street<br />
Salem, AR 72576<br />
Phone No.: (870) 895-3300<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4147 Cert. Card No.: 18684<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4147(B) Cert. Card No.: 18884<br />
Expiration Date: 12/31/2012<br />
County Located: Fulton<br />
North <strong>Arkansas</strong> HomeCare<br />
111 North Main Street, Suite 1<br />
Salem, AR 72576<br />
Phone No.: (870) 895-2273<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4781 Cert. Card No.: 18488<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Fulton<br />
Spring River Home Health Agency
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
121 South Pickren Street<br />
Salem, AR 72576<br />
Phone No.: (870) 895-2627<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Personal<br />
Care Services<br />
License No.: AR4574 Cert. Card No.: 18686<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Fulton<br />
White River Area Agency on Aging, Inc.<br />
334 North Main Street<br />
Salem, AR 72576<br />
Phone No.: (877) 895-4034<br />
License Type: Class B Home Health Agency Providing Personal Care Services<br />
License No.: AR4758 Cert. Card No.: 18687<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Garland<br />
Area Agency on Aging of West Central <strong>Arkansas</strong><br />
905 West Grand Avenue<br />
Hot Springs, AR 71913<br />
Phone No.: (501) 321-2811<br />
License Type: Class B Home Health Agency Providing Personal Care Services<br />
License No.: AR4176 Cert. Card No.: 18688<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Garland<br />
Care IV Home Health<br />
100 Ridgeway, Suite 3<br />
Hot Springs, AR 71901<br />
Phone No.: (501) 623-5656<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care, Extended Care<br />
& Personal Care Services<br />
License No.: AR4326 Cert. Card No.: 18689<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care, Extended Care & Personal Care Services<br />
License No.: AR4326(B) Cert. Card No.: 18891
Expiration Date: 12/31/2012<br />
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
County Located: Garland<br />
Central <strong>Arkansas</strong> HomeCare<br />
1820 Central Avenue, Suite C<br />
Hot Springs, AR 71901-6847<br />
Phone No.: (501) 627-0540<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4761 Cert. Card No.: 18690<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Garland<br />
Garland County Health Unit<br />
1425 Malvern Avenue<br />
Hot Springs, AR 71901<br />
Phone No.: (501) 624-3397<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR3988 Cert. Card No.: 18691<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR3988(B) Cert. Card No.: 18841<br />
Expiration Date: 12/31/2012<br />
County Located: Garland<br />
Gentiva Health Services<br />
4328 Central Avenue, Suite E<br />
Hot Springs, AR 71913-5907<br />
Phone No.: (501) 525-5888<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Extended<br />
Care* Services<br />
License No.: AR4681 Cert. Card No.: 18692<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care, Extended Care* & Personal Care Services<br />
License No.: AR4681(B) Cert. Card No.: 18919<br />
Expiration Date: 12/31/2012<br />
County Located: Garland<br />
NPMC Home Touch Healthcare<br />
1900 Malvern Avenue, Suite 205<br />
Hot Springs, AR 71901<br />
Phone No.: (501) 321-0708
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4587 Cert. Card No.: 18693<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Garland<br />
St. Joseph's Mercy Health Center HHA<br />
174 Cornerstone Lane<br />
Hot Springs, AR 71913<br />
Phone No.: (501) 318-6800<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4146 Cert. Card No.: 18694<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Grant<br />
Area Agency on Aging of Southeast <strong>Arkansas</strong>, Inc. - Grant County<br />
811 East Center Street<br />
Sheridan, AR 72150<br />
Phone No.: (870) 942-4842<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care, Extended Care<br />
& Personal Care Services<br />
License No.: AR3742 Cert. Card No.: 18695<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Grant<br />
Grant County Health Unit<br />
204 North Oak, Suite A<br />
Sheridan, AR 72150<br />
Phone No.: (870) 942-7845<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4345 Cert. Card No.: 18696<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4345(B) Cert. Card No.: 18892<br />
Expiration Date: 12/31/2012<br />
County Located: Greene<br />
<strong>Arkansas</strong> Methodist Medical Center Home Health Agency
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
900 West Kingshighway<br />
Paragould, AR 72450<br />
Phone No.: (870) 239-7000<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Personal<br />
Care Services<br />
License No.: AR4057 Cert. Card No.: 18697<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Greene<br />
East <strong>Arkansas</strong> Area Agency on Aging, Inc. - Greene County<br />
120 West Highland<br />
Paragould, AR 72450<br />
Phone No.: (870) 236-3903<br />
License Type: Class B Home Health Agency Providing Personal Care Services<br />
License No.: AR3952 Cert. Card No.: 18698<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Greene<br />
Greene County Health Unit<br />
200 North Second<br />
Paragould, AR 72450-0576<br />
Phone No.: (870) 236-1716<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4510 Cert. Card No.: 18699<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4510(B) Cert. Card No.: 18904<br />
Expiration Date: 12/31/2012<br />
County Located: Hempstead<br />
Hempstead County Health Unit<br />
100 East 20th, Suite E & F<br />
Hope, AR 71801<br />
Phone No.: (870) 777-9424<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4251 Cert. Card No.: 18700<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4251(B) Cert. Card No.: 18888
Expiration Date: 12/31/2012<br />
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
County Located: Hempstead<br />
Southwest <strong>Arkansas</strong> Development Council Home Health - Hempstead/Nevada Counties<br />
104 South Main Street<br />
Hope, AR 71802<br />
Phone No.: (870) 777-2629<br />
License Type: Class B Home Health Agency Providing Personal Care Services<br />
License No.: AR4427 Cert. Card No.: 18701<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Hot Spring<br />
Hot Spring County Health Unit<br />
2204 East Sullenberger<br />
Malvern, AR 72104<br />
Phone No.: (501) 332-6996<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR3992 Cert. Card No.: 18702<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR3992(B) Cert. Card No.: 18842<br />
Expiration Date: 12/31/2012<br />
County Located: Hot Spring<br />
Hot Spring County Home Care<br />
1001 Schneider Drive<br />
Malvern, AR 72104<br />
Phone No.: (501) 337-4663<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR3830 Cert. Card No.: 18703<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Howard<br />
Howard County Health Unit<br />
201 East Hempstead, Suite 2<br />
Nashville, AR 71852<br />
Phone No.: (870) 845-2058<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR3993 Cert. Card No.: 18704
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR3993(B) Cert. Card No.: 18843<br />
Expiration Date: 12/31/2012<br />
County Located: Howard<br />
Southwest <strong>Arkansas</strong> Development Council, Inc. Home Health Agency<br />
206 East Howard<br />
Nashville, AR 71852<br />
Phone No.: (870) 845-4706<br />
License Type: Class B Home Health Agency Providing Personal Care Services<br />
License No.: AR4709 Cert. Card No.: 18705<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Howard<br />
Southwest <strong>Arkansas</strong> HomeCare<br />
132 Medical Circle, Suite 400<br />
Nashville, AR 71852<br />
Phone No.: (870) 845-8206<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4682 Cert. Card No.: 18706<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Independence<br />
Amedisys Home Health<br />
2236 Harrison Street<br />
Batesville, AR 72501-7417<br />
Phone No.: (870) 793-1483<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4731 Cert. Card No.: 18707<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4731(B) Cert. Card No.: 18927<br />
Expiration Date: 12/31/2012<br />
County Located: Independence<br />
Approve Home Medical Services, Inc.<br />
2000 East Harrison Street, Suite E<br />
Batesville, AR 72501
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
Phone No.: (870) 698-1123<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4069 Cert. Card No.: 18708<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care, Extended Care & Personal Care Services<br />
License No.: AR4069(B) Cert. Card No.: 18881<br />
Expiration Date: 12/31/2012<br />
County Located: Independence<br />
Independence County Health Unit<br />
120 Weaver Avenue<br />
Batesville, AR 72501<br />
Phone No.: (870) 793-8852<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR3994 Cert. Card No.: 18709<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR3994(B) Cert. Card No.: 18844<br />
Expiration Date: 12/31/2012<br />
County Located: Independence<br />
White River Area Agency on Aging, Inc.<br />
505 South St. Louis Street<br />
Batesville, AR 72503<br />
Phone No.: (870) 612-3000<br />
License Type: Class B Home Health Agency Providing Personal Care Services<br />
License No.: AR4762 Cert. Card No.: 18465<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Izard<br />
CMC Home Health<br />
54 Grasse Street<br />
Calico Rock, AR 72519-0438<br />
Phone No.: (870) 297-3738<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4635 Cert. Card No.: 18711<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Izard
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
Izard County Health Unit<br />
1015 Haley Street<br />
Melbourne, AR 72556<br />
Phone No.: (870) 368-4966<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4030 Cert. Card No.: 18712<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4030(B) Cert. Card No.: 18868<br />
Expiration Date: 12/31/2012<br />
County Located: Izard<br />
White River Area Agency on Aging, Izard County<br />
800 Highway 69 East<br />
Melbourne, AR 72556<br />
Phone No.: (870) 368-3243<br />
License Type: Class B Home Health Agency Providing Personal Care Services<br />
License No.: AR4452 Cert. Card No.: 18713<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Jackson<br />
Harris Home Health<br />
1301 McLain Street<br />
Newport, AR 72112<br />
Phone No.: (870) 523-0390<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4531 Cert. Card No.: 18714<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4531(B) Cert. Card No.: 18906<br />
Expiration Date: 12/31/2012<br />
County Located: Jackson<br />
Jackson County Health Unit<br />
1505 North Pecan<br />
Newport, AR 72112<br />
Phone No.: (870) 523-4583<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR3995 Cert. Card No.: 18715<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
License No.: AR3995(B) Cert. Card No.: 18845<br />
Expiration Date: 12/31/2012<br />
County Located: Jackson<br />
White River Area Agency on Aging, Inc.<br />
2600 Doyle Street, Suite B<br />
Newport, AR 72112<br />
Phone No.: (870) 523-4982<br />
License Type: Class B Home Health Agency Providing Personal Care Services<br />
License No.: AR4464 Cert. Card No.: 18716<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Jefferson<br />
Area Agency on Aging of Southeast <strong>Arkansas</strong>, Inc. - Jefferson County<br />
200 East Eleventh, Suite K<br />
Pine Bluff, AR 71611<br />
Phone No.: (870) 543-6300<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care, Extended Care<br />
& Personal Care Services<br />
License No.: AR4763 Cert. Card No.: 18717<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Jefferson<br />
Jefferson County Health Unit<br />
3400 West 34th Street<br />
Pine Bluff, AR 71603<br />
Phone No.: (870) 850-6978<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4382 Cert. Card No.: 18718<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4382(B) Cert. Card No.: 18920<br />
Expiration Date: 12/31/2012<br />
County Located: Jefferson<br />
Jefferson HomeCare<br />
3905 South Hazel Street<br />
Pine Bluff, AR 71603-6237<br />
Phone No.: (870) 534-3420
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Personal<br />
Care Services<br />
License No.: AR4570 Cert. Card No.: 18719<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Johnson<br />
Johnson County Health Unit<br />
1219 South Rogers Avenue<br />
Clarksville, AR 72830<br />
Phone No.: (479) 754-3002<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4589 Cert. Card No.: 18720<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4589(B) Cert. Card No.: 18908<br />
Expiration Date: 12/31/2012<br />
County Located: Johnson<br />
Johnson Regional HomeCare<br />
401 Rogers<br />
Clarksville, AR 72830<br />
Phone No.: (479) 754-5448<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care, Extended Care<br />
& Personal Care Services<br />
License No.: AR4455 Cert. Card No.: 18721<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Lafayette<br />
Lafayette County Health Unit<br />
1113 Chestnut Street<br />
Lewisville, AR 71845<br />
Phone No.: (870) 921-4509<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR3998 Cert. Card No.: 18723<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR3998(B) Cert. Card No.: 18846<br />
Expiration Date: 12/31/2012
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
County Located: Lafayette<br />
Southwest <strong>Arkansas</strong> Development Council, Inc. Home Health - Lafayette County<br />
226 Spruce Street<br />
Lewisville, AR 71845<br />
Phone No.: (870) 921-5456<br />
License Type: Class B Home Health Agency Providing Personal Care Services<br />
License No.: AR4711 Cert. Card No.: 18724<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Lawrence<br />
East <strong>Arkansas</strong> Area Agency on Aging, Inc.-Lawrence County<br />
500 S. W. Lawrence<br />
Hoxie, AR 72433<br />
Phone No.: (870) 886-2460<br />
License Type: Class B Home Health Agency Providing Personal Care Services<br />
License No.: AR3607 Cert. Card No.: 18725<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Lawrence<br />
Lawrence County Health Unit<br />
1050 West Free Street<br />
Walnut Ridge, AR 72476<br />
Phone No.: (870) 886-3201<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR3999 Cert. Card No.: 18726<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR3999(B) Cert. Card No.: 18847<br />
Expiration Date: 12/31/2012<br />
County Located: Lee<br />
Lee County Health Unit<br />
141 North Hicky Street<br />
Marianna, AR 72360<br />
Phone No.: (870) 295-2400<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4000 Cert. Card No.: 18727<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
License No.: AR4000(B) Cert. Card No.: 18848<br />
Expiration Date: 12/31/2012<br />
County Located: Lincoln<br />
Area Agency on Aging of Southeast <strong>Arkansas</strong>, Inc. - Lincoln County<br />
700 South Lincoln<br />
Star City, AR 71667<br />
Phone No.: (870) 628-5147<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care, Extended Care<br />
& Personal Care Services<br />
License No.: AR3514 Cert. Card No.: 18728<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Lincoln<br />
Lincoln County Health Unit<br />
214 South Lincoln<br />
Star City, AR 71667<br />
Phone No.: (870) 628-5072<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4651 Cert. Card No.: 18729<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4651(B) Cert. Card No.: 18916<br />
Expiration Date: 12/31/2012<br />
County Located: Little River<br />
Little River County Health Unit<br />
150 Keller<br />
Ashdown, AR 71822<br />
Phone No.: (870) 898-3141<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4036 Cert. Card No.: 18730<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4036(B) Cert. Card No.: 18873<br />
Expiration Date: 12/31/2012<br />
County Located: Little River<br />
Little River Memorial Hospital HHA<br />
450 West Locke Street, Suite A<br />
Ashdown, AR 71822
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
Phone No.: (870) 898-4120<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4705 Cert. Card No.: 18731<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4705(B) Cert. Card No.: 18922<br />
Expiration Date: 12/31/2012<br />
County Located: Logan<br />
Logan County Health Unit Booneville<br />
721 West First Street<br />
Booneville, AR 72927<br />
Phone No.: (479) 675-4370<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4041 Cert. Card No.: 18732<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4041(B) Cert. Card No.: 18877<br />
Expiration Date: 12/31/2012<br />
County Located: Logan<br />
Logan County Health Unit Paris<br />
150 South Lowder Street<br />
Paris, AR 72855<br />
Phone No.: (479) 963-3159<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4130 Cert. Card No.: 18733<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4130(B) Cert. Card No.: 18883<br />
Expiration Date: 12/31/2012<br />
County Located: Logan<br />
Visiting Nurses Agency of Western <strong>Arkansas</strong>, Inc.<br />
550 Heritage<br />
Booneville, AR 72927<br />
Phone No.: (479) 675-4234<br />
License Type: Class B Home Health Agency Providing Personal Care Services<br />
License No.: AR4599 Cert. Card No.: 18734<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
County Located: Logan<br />
Visiting Nurses Agency of Western <strong>Arkansas</strong>, Inc.<br />
333 South First Street<br />
Paris, AR 72855<br />
Phone No.: (479) 963-6868<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Extended<br />
Care Services<br />
License No.: AR4594 Cert. Card No.: 18735<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care, Extended Care & Personal Care Services<br />
License No.: AR4594(B) Cert. Card No.: 18910<br />
Expiration Date: 12/31/2012<br />
County Located: Logan<br />
Western Valley Home Health<br />
880 West Main<br />
Booneville, AR 72927<br />
Phone No.: (479) 675-2800<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Personal<br />
Care Services<br />
License No.: AR4627 Cert. Card No.: 18736<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Lonoke<br />
Lonoke County Health Unit<br />
306 North Center<br />
Lonoke, AR 72086<br />
Phone No.: (501) 676-3260<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4157 Cert. Card No.: 18737<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4157(B) Cert. Card No.: 18885<br />
Expiration Date: 12/31/2012<br />
County Located: Marion<br />
Baxter Regional Medical Center Home Health Marion County Office<br />
414 West Old Main Street<br />
Yellville, AR 72687<br />
Phone No.: (870) 449-5559
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Personal<br />
Care Services<br />
License No.: AR4723 Cert. Card No.: 18738<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Marion<br />
Marion County Health Unit<br />
707 Highway 202 West<br />
Yellville, AR 72687<br />
Phone No.: (870) 449-6363<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4004 Cert. Card No.: 18739<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4004(B) Cert. Card No.: 18849<br />
Expiration Date: 12/31/2012<br />
County Located: Miller<br />
Integrity Home Health<br />
3809 East Ninth Street, Suite 12<br />
Texarkana, AR 71854<br />
Phone No.: (870) 773-4900<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4499 Cert. Card No.: 18740<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Miller<br />
Jordan Health Services<br />
4100 Jefferson Avenue, Suite A<br />
Texarkana, AR 71854-1529<br />
Phone No.: (870) 772-0958<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4777 Cert. Card No.: 18483<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Miller<br />
Miller County Health Unit
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
503 Walnut<br />
Texarkana, AR 71854<br />
Phone No.: (870) 773-2108<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4005 Cert. Card No.: 18742<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4005(B) Cert. Card No.: 18850<br />
Expiration Date: 12/31/2012<br />
County Located: Miller<br />
Southwest <strong>Arkansas</strong> Development Council, Inc. Home Health Agency -- Miller/Little River<br />
Counties<br />
3902 Sanderson Lane<br />
Texarkana, AR 71854<br />
Phone No.: (870) 773-0819<br />
License Type: Class B Home Health Agency Providing Personal Care Services<br />
License No.: AR4708 Cert. Card No.: 18743<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Mississippi<br />
East <strong>Arkansas</strong> Area Agency on Aging, Inc. - Mississippi County<br />
1101-A David Lane<br />
Blytheville, AR 72315<br />
Phone No.: (870) 763-2278<br />
License Type: Class B Home Health Agency Providing Personal Care Services<br />
License No.: AR4252 Cert. Card No.: 18744<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Mississippi<br />
Home Health Professionals, Inc.<br />
509 Hutson Street<br />
Blytheville, AR 72316<br />
Phone No.: (870) 762-1825<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care, Extended Care<br />
& Personal Care Services<br />
License No.: AR3961 Cert. Card No.: 18745<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012<br />
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
County Located: Mississippi<br />
Mississippi County Health Unit Blytheville<br />
1299 North Tenth Street<br />
Blytheville, AR 72316<br />
Phone No.: (870) 763-7064<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4006 Cert. Card No.: 18746<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4006(B) Cert. Card No.: 18851<br />
Expiration Date: 12/31/2012<br />
County Located: Mississippi<br />
Mississippi County Health Unit Osceola<br />
720 West Lee Street<br />
Osceola, AR 72370<br />
Phone No.: (870) 563-2521<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4045 Cert. Card No.: 18747<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4045(B) Cert. Card No.: 18879<br />
Expiration Date: 12/31/2012<br />
County Located: Monroe<br />
CareLink<br />
803 Jefferson<br />
Clarendon, AR 72029<br />
Phone No.: (870) 747-3388<br />
License Type: Class B Home Health Agency Providing Personal Care Services<br />
License No.: AR3292 Cert. Card No.: 18748<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Monroe<br />
Monroe County Health Unit<br />
409 West Fourth Street<br />
Brinkley, AR 72021<br />
Phone No.: (870) 734-1724<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
License No.: AR4734 Cert. Card No.: 18749<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4734(B) Cert. Card No.: 18928<br />
Expiration Date: 12/31/2012<br />
County Located: Montgomery<br />
Montgomery County Health Unit<br />
346 Luzerne<br />
Mount Ida, AR 71957<br />
Phone No.: (870) 867-3138<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4008 Cert. Card No.: 18750<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4008(B) Cert. Card No.: 18852<br />
Expiration Date: 12/31/2012<br />
County Located: Nevada<br />
Nevada County Health Unit<br />
1501 West First North<br />
Prescott, AR 71857<br />
Phone No.: (870) 887-2640<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4009 Cert. Card No.: 18751<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4009(B) Cert. Card No.: 18853<br />
Expiration Date: 12/31/2012<br />
County Located: Newton<br />
Newton County Health Unit<br />
506 West Court Street<br />
Jasper, AR 72641<br />
Phone No.: (870) 446-2286<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4032 Cert. Card No.: 18752<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4032(B) Cert. Card No.: 18870<br />
Expiration Date: 12/31/2012<br />
County Located: Ouachita
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
Doctor's Home Care<br />
726 California Avenue<br />
Camden, AR 71701<br />
Phone No.: (870) 836-1301<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4417 Cert. Card No.: 18753<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care, Extended Care & Personal Care Services<br />
License No.: AR4417(B) Cert. Card No.: 18901<br />
Expiration Date: 12/31/2012<br />
County Located: Ouachita<br />
Ouachita County Health Unit<br />
740 California Avenue, SW<br />
Camden, AR 71701<br />
Phone No.: (870) 836-7395<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4010 Cert. Card No.: 18754<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4010(B) Cert. Card No.: 18854<br />
Expiration Date: 12/31/2012<br />
County Located: Ouachita<br />
Southwest <strong>Arkansas</strong> Development Council, Inc. - Ouachita County<br />
120 East Washington Street<br />
Camden, AR 71701<br />
Phone No.: (870) 836-5906<br />
License Type: Class B Home Health Agency Providing Personal Care Services<br />
License No.: AR4691 Cert. Card No.: 18755<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Perry<br />
Perry County Health Unit<br />
1039 North Fouche Avenue<br />
Perryville, AR 72126<br />
Phone No.: (501) 889-5156<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4011 Cert. Card No.: 18756<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
License No.: AR4011(B) Cert. Card No.: 18855<br />
Expiration Date: 12/31/2012<br />
County Located: Phillips<br />
East <strong>Arkansas</strong> Area Agency on Aging, Inc. - Phillips County<br />
617 Walnut Street<br />
Helena, AR 72342<br />
Phone No.: (870) 338-7136<br />
License Type: Class B Home Health Agency Providing Personal Care Services<br />
License No.: AR3437 Cert. Card No.: 18757<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Phillips<br />
Phillips County Health Unit<br />
Shirley Hicks Drive - Highway 49 Bypass<br />
West Helena, AR 72390<br />
Phone No.: (870) 572-9028<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4012 Cert. Card No.: 18758<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4012(B) Cert. Card No.: 18856<br />
Expiration Date: 12/31/2012<br />
County Located: Phillips<br />
Regional Home Care, Helena<br />
119 Hickory Hill<br />
Helena, AR 72342<br />
Phone No.: (870) 816-3500<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4530 Cert. Card No.: 18759<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Pike<br />
Pike County Health Unit<br />
15 Caddo Drive<br />
Murfreesboro, AR 71958<br />
Phone No.: (870) 285-3155<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
License No.: AR4013 Cert. Card No.: 18760<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4013(B) Cert. Card No.: 18857<br />
Expiration Date: 12/31/2012<br />
County Located: Poinsett<br />
Crittenden Regional Hospital - Home Health - Marked Tree<br />
107 Nathan<br />
Marked Tree, AR 72365<br />
Phone No.: (870) 358-4018<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Extended<br />
Care Services<br />
License No.: AR4628 Cert. Card No.: 18761<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Poinsett<br />
East <strong>Arkansas</strong> Area Agency on Aging, Inc. - Poinsett County<br />
351 Campbell Street<br />
Trumann, AR 72472<br />
Phone No.: (870) 483-2532<br />
License Type: Class B Home Health Agency Providing Personal Care Services<br />
License No.: AR3327 Cert. Card No.: 18762<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Poinsett<br />
Poinsett County Health Unit<br />
119 North Main<br />
Harrisburg, AR 72432<br />
Phone No.: (870) 578-2359<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4014 Cert. Card No.: 18763<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4014(B) Cert. Card No.: 18858<br />
Expiration Date: 12/31/2012<br />
County Located: Polk<br />
Polk County Health Unit
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
702 Hornbeck<br />
Mena, AR 71953<br />
Phone No.: (479) 394-3433<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4015 Cert. Card No.: 18764<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4015(B) Cert. Card No.: 18859<br />
Expiration Date: 12/31/2012<br />
County Located: Polk<br />
Visiting Nurses Agency of Western <strong>Arkansas</strong>, Inc.<br />
600 Seventh Street<br />
Mena, AR 71953<br />
Phone No.: (479) 394-5458<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Extended<br />
Care Services<br />
License No.: AR4600 Cert. Card No.: 18765<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care, Extended Care & Personal Care Services<br />
License No.: AR4600(B) Cert. Card No.: 18913<br />
Expiration Date: 12/31/2012<br />
County Located: Polk<br />
West <strong>Arkansas</strong> HomeCare<br />
1201 South Mena Street<br />
Mena, AR 71953-4280<br />
Phone No.: (479) 394-1812<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Personal<br />
Care Services<br />
License No.: AR4683 Cert. Card No.: 18766<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Pope<br />
Area Agency on Aging of West Central <strong>Arkansas</strong><br />
1310 West Main, Suite 100<br />
Russellville, AR 72801<br />
Phone No.: (501) 967-9300<br />
License Type: Class B Home Health Agency Providing Personal Care Services<br />
License No.: AR4173 Cert. Card No.: 18767<br />
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
County Located: Pope<br />
Care IV Home Health<br />
1008 West Main Street<br />
Russellville, AR 72801<br />
Phone No.: (479) 964-0072<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care, Extended Care<br />
& Personal Care Services<br />
License No.: AR4699 Cert. Card No.: 18768<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care, Extended Care & Personal Care Services<br />
License No.: AR4699(B) Cert. Card No.: 18921<br />
Expiration Date: 12/31/2012<br />
County Located: Pope<br />
Pope County Health Unit<br />
1509 East Main, Suite 6<br />
Russellville, AR 72801<br />
Phone No.: (479) 890-4834<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4381 Cert. Card No.: 18769<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4381(B) Cert. Card No.: 18893<br />
Expiration Date: 12/31/2012<br />
County Located: Pope<br />
St. Mary's Regional Medical Center Home Health<br />
1808 West Main Street<br />
Russellville, AR 72801<br />
Phone No.: (479) 968-4544<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Personal<br />
Care Services<br />
License No.: AR4550 Cert. Card No.: 18770<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Prairie<br />
Prairie County Health Unit<br />
204 Main Street
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
Des Arc, AR 72040-0249<br />
Phone No.: (870) 256-3065<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4524 Cert. Card No.: 18771<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4524(B) Cert. Card No.: 18905<br />
Expiration Date: 12/31/2012<br />
County Located: Pulaski<br />
<strong>Arkansas</strong> Department of Health, Section of In-Home Services<br />
5800 West Tenth, Suite 300<br />
Little Rock, AR 72204<br />
Phone No.: (501) 661-2614<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR3971 Cert. Card No.: 18772<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR3971(B) Cert. Card No.: 18833<br />
Expiration Date: 12/31/2012<br />
County Located: Pulaski<br />
Baptist Health Home Health - Little Rock<br />
11900 Colonel Glenn, Suite 2000<br />
Little Rock, AR 72210<br />
Phone No.: (501) 202-7480<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Personal<br />
Care Services<br />
License No.: AR4202 Cert. Card No.: 18773<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Pulaski<br />
Care IV Home Health<br />
1023 Rushing Circle<br />
Little Rock, AR 72204<br />
Phone No.: (501) 686-2400<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care, Extended Care<br />
& Personal Care Services<br />
License No.: AR4779 Cert. Card No.: 18485<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care, Extended Care & Personal Care Services
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
License No.: AR4779(B) Cert. Card No.: 18486<br />
Expiration Date: 12/31/2012<br />
County Located: Pulaski<br />
CareLink<br />
706 West Fourth Street<br />
North Little Rock, AR 72119<br />
Phone No.: (501) 372-5300<br />
License Type: Class B Home Health Agency Providing Personal Care Services<br />
License No.: AR3295 Cert. Card No.: 18775<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Pulaski<br />
CareNetwork of Little Rock<br />
11524 North Rodney Parham Road, Suite 1<br />
Little Rock, AR 72212<br />
Phone No.: (501) 223-3333<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care, Extended Care<br />
& Personal Care Services<br />
License No.: AR4768 Cert. Card No.: 18473<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Pulaski<br />
Gentiva Health Services<br />
204 Executive Court, Suite 100<br />
Little Rock, AR 72205<br />
Phone No.: (501) 223-8310<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Extended<br />
Care* Services<br />
License No.: AR4104 Cert. Card No.: 18777<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care, Extended Care* & Personal Care Services<br />
License No.: AR4104(B) Cert. Card No.: 18882<br />
Expiration Date: 12/31/2012<br />
County Located: Pulaski<br />
Intrepid USA Healthcare Services<br />
300 South Rodney Parham, Suite 14<br />
Little Rock, AR 72205-4774
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
Phone No.: (501) 227-0689<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4566 Cert. Card No.: 18778<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Pulaski<br />
North Metro Medical Center Home Health Agency<br />
1400 Braden Street<br />
Jacksonville, AR 72076<br />
Phone No.: (501) 985-7000<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4783 Cert. Card No.: 18490<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Pulaski<br />
Pulaski County Health Unit<br />
3600 Cantrell, Suite 203<br />
Little Rock, AR 72202<br />
Phone No.: (501) 280-3234<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4493 Cert. Card No.: 18780<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4493(B) Cert. Card No.: 18903<br />
Expiration Date: 12/31/2012<br />
County Located: Pulaski<br />
St. Vincent HOMECARE<br />
Two St. Vincent Circle<br />
Little Rock, AR 72205-5323<br />
Phone No.: (501) 664-2313<br />
License Type: Class B Home Health Agency Providing Intermittent Skilled Care, Extended Care<br />
& Personal Care Services<br />
License No.: AR4769 Cert. Card No.: 18474<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Pulaski
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
Visiting Nurse Association of <strong>Arkansas</strong><br />
Two St. Vincent Circle<br />
Little Rock, AR 72205-5423<br />
Phone No.: (501) 664-4933<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4771 Cert. Card No.: 18477<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Randolph<br />
Five Rivers Medical Center Home Health<br />
304 West Marr Street<br />
Pocahontas, AR 72455-3442<br />
Phone No.: (870) 892-6070<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Personal<br />
Care Services<br />
License No.: AR4742 Cert. Card No.: 18783<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Randolph<br />
Randolph County Health Unit<br />
1907 Old County Road<br />
Pocahontas, AR 72455<br />
Phone No.: (870) 892-8046<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4588 Cert. Card No.: 18784<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4588(B) Cert. Card No.: 18907<br />
Expiration Date: 12/31/2012<br />
County Located: Saline<br />
Home Health & Hospice Services of Saline Memorial Hospital<br />
1 Medical Park Drive<br />
Benton, AR 72015<br />
Phone No.: (501) 776-6250<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR3926 Cert. Card No.: 18785<br />
Derivative B License Type: Derivative B Home Health Agency Providing Personal Care Services<br />
License No.: AR3926(B) Cert. Card No.: 18832
Expiration Date: 12/31/2012<br />
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
County Located: Saline<br />
Saline County Health Unit<br />
1612 Edison Avenue<br />
Benton, AR 72015<br />
Phone No.: (501) 776-1606<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4020 Cert. Card No.: 18786<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4020(B) Cert. Card No.: 18861<br />
Expiration Date: 12/31/2012<br />
County Located: Scott<br />
Scott County Health Unit<br />
73 Highway 71 Bypass<br />
Waldron, AR 72958<br />
Phone No.: (479) 637-4020<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4605 Cert. Card No.: 18787<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4605(B) Cert. Card No.: 18914<br />
Expiration Date: 12/31/2012<br />
County Located: Scott<br />
Visiting Nurses Agency of Western <strong>Arkansas</strong>, Inc.<br />
1579 Clyde Hawkins Drive<br />
Waldron, AR 72958<br />
Phone No.: (479) 637-4795<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Extended<br />
Care Services<br />
License No.: AR4595 Cert. Card No.: 18788<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care, Extended Care & Personal Care Services<br />
License No.: AR4595(B) Cert. Card No.: 18911<br />
Expiration Date: 12/31/2012<br />
County Located: Searcy<br />
Searcy County Health Unit<br />
742 Airport Road<br />
Marshall, AR 72650
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
Phone No.: (870) 448-5060<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4414 Cert. Card No.: 18789<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4414(B) Cert. Card No.: 18899<br />
Expiration Date: 12/31/2012<br />
County Located: Sebastian<br />
Advantage Home Health<br />
1001 Towson Avenue<br />
Fort Smith, AR 72901<br />
Phone No.: (479) 441-5850<br />
License Type: Class B Home Health Agency Providing Intermittent Skilled Care, Extended Care<br />
& Personal Care Services<br />
License No.: AR4617 Cert. Card No.: 18790<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Sebastian<br />
CareNetwork of Ft. Smith<br />
4019 Massard Road<br />
Fort Smith, AR 72903<br />
Phone No.: (479) 494-7273<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care, Extended Care<br />
& Personal Care Services<br />
License No.: AR4643 Cert. Card No.: 18791<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Sebastian<br />
Gentiva Health Services<br />
3321 South 74th Street, Suite B<br />
Fort Smith, AR 72903<br />
Phone No.: (479) 452-0424<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Extended<br />
Care* Services<br />
License No.: AR4305 Cert. Card No.: 18792<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care, Extended Care* & Personal Care Services<br />
License No.: AR4305(B) Cert. Card No.: 18890
Expiration Date: 12/31/2012<br />
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
County Located: Sebastian<br />
Mercy Home Care<br />
7301B Rogers Avenue<br />
Fort Smith, AR 72903<br />
Phone No.: (479) 314-5511<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Extended<br />
Care Services<br />
License No.: AR4171 Cert. Card No.: 18793<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Sebastian<br />
Sparks Regional Medical Center Home Health<br />
1311 South I Street<br />
Fort Smith, AR 72901-4915<br />
Phone No.: (479) 441-5850<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4616 Cert. Card No.: 18794<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Sebastian<br />
Visiting Nurses Agency of Western <strong>Arkansas</strong>, Inc.<br />
524 Garrison Avenue<br />
Fort Smith, AR 72901<br />
Phone No.: (479) 783-5550<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Extended<br />
Care Services<br />
License No.: AR4593 Cert. Card No.: 18795<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care, Extended Care & Personal Care Services<br />
License No.: AR4593(B) Cert. Card No.: 18909<br />
Expiration Date: 12/31/2012<br />
County Located: Sebastian<br />
Visiting Nurses Agency of Western <strong>Arkansas</strong>, Inc.<br />
42 Town Square<br />
Greenwood, AR 72936<br />
Phone No.: (479) 996-7040
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
License Type: Class B Home Health Agency Providing Personal Care Services<br />
License No.: AR4598 Cert. Card No.: 18796<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Sevier<br />
Amedisys Home Health<br />
307 West Stillwell Avenue<br />
DeQueen, AR 71832-2860<br />
Phone No.: (870) 642-4214<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Personal<br />
Care Services<br />
License No.: AR4746 Cert. Card No.: 18797<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermttent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4746(B) Cert. Card No.: 18929<br />
Expiration Date: 12/31/2012<br />
County Located: Sevier<br />
DeQueen Medical Center Home Health<br />
1316 West Collin Raye Drive, Suite D<br />
DeQueen, AR 71832-2108<br />
Phone No.: (870) 584-0277<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4695 Cert. Card No.: 18798<br />
Derivative B License Type: NA<br />
License No.: Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Sevier<br />
Sevier County Health Unit<br />
304 North Fourth Street<br />
DeQueen, AR 71832<br />
Phone No.: (870) 642-2535<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4035 Cert. Card No.: 18799<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4035(B) Cert. Card No.: 18872<br />
Expiration Date: 12/31/2012<br />
County Located: Sevier
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
Southwest <strong>Arkansas</strong> Development Council, Inc. - Sevier County<br />
605 East Haes<br />
DeQueen, AR 71832<br />
Phone No.: (870) 584-7100<br />
License Type: Class B Home Health Agency Providing Personal Care Services<br />
License No.: AR3315 Cert. Card No.: 18800<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Sharp<br />
Community Home Health Care of <strong>Arkansas</strong>, Inc.<br />
2852C Highway 62-412<br />
Highland, AR 72542<br />
Phone No.: (870) 856-2671<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care, Extended Care<br />
& Personal Care Services<br />
License No.: AR4373 Cert. Card No.: 18801<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Sharp<br />
Sharp County Health Unit<br />
724 Ash Flat Drive<br />
Ash Flat, AR 72513<br />
Phone No.: (870) 994-2816<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4383 Cert. Card No.: 18802<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4383(B) Cert. Card No.: 18894<br />
Expiration Date: 12/31/2012<br />
County Located: Sharp<br />
White River Area Agency on Aging, Inc. - Ash Flat<br />
75 D Remington Plaza<br />
Ash Flat, AR 72513<br />
Phone No.: (877) 855-2206<br />
License Type: Class B Home Health Agency Providing Personal Care Services<br />
License No.: AR3895 Cert. Card No.: 18803<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012<br />
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
County Located: St. Francis<br />
East <strong>Arkansas</strong> Area Agency on Aging, Inc. - St. Francis County<br />
602 East Cross<br />
Forrest City, AR 72336<br />
Phone No.: (870) 633-2248<br />
License Type: Class B Home Health Agency Providing Personal Care Services<br />
License No.: AR3326 Cert. Card No.: 18804<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: St. Francis<br />
Forrest City Home Medical Equipment, LLC<br />
101 North Rosser<br />
Forrest City, AR 72335<br />
Phone No.: (870) 633-5176<br />
License Type: Class B Home Health Agency Providing Intermittent Skilled Care, Extended Care<br />
& Personal Care Services<br />
License No.: AR4482 Cert. Card No.: 18805<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: St. Francis<br />
Northeast <strong>Arkansas</strong> HomeCare<br />
1712 Lindauer Road<br />
Forrest City, AR 72335<br />
Phone No.: (870) 261-0188<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4442 Cert. Card No.: 18806<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: St. Francis<br />
St. Francis County Health Unit<br />
413 North Division<br />
Forrest City, AR 72335<br />
Phone No.: (870) 633-1340<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4019 Cert. Card No.: 18807
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4019(B) Cert. Card No.: 18860<br />
Expiration Date: 12/31/2012<br />
County Located: Stone<br />
Amedisys Home Health of Mountain View<br />
609 Sylamore Avenue<br />
Mountain View, AR 72560-2710<br />
Phone No.: (870) 269-2993<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4629 Cert. Card No.: 18808<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Stone<br />
Stone County Health Unit<br />
204 Whitfield Street<br />
Mountain View, AR 72560<br />
Phone No.: (870) 269-2598<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4031 Cert. Card No.: 18809<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4031(B) Cert. Card No.: 18869<br />
Expiration Date: 12/31/2012<br />
County Located: Stone<br />
White River Area Agency on Aging, Inc.<br />
606 Sylamore Avenue<br />
Mountain View, AR 72560<br />
Phone No.: (877) 482-2332<br />
License Type: Class B Home Health Agency Providing Personal Care Services<br />
License No.: AR4120 Cert. Card No.: 18810<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Union<br />
South <strong>Arkansas</strong> Home Health<br />
431 West Oak<br />
El Dorado, AR 71730-4566
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
Phone No.: (870) 862-2631<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Personal<br />
Care Services<br />
License No.: AR4686 Cert. Card No.: 18811<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Union<br />
Southwest <strong>Arkansas</strong> Development Council, Inc. - Union County<br />
518 West Faulkner Street<br />
El Dorado, AR 71730<br />
Phone No.: (870) 862-2859<br />
License Type: Class B Home Health Agency Providing Personal Care Services<br />
License No.: AR3316 Cert. Card No.: 18812<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Union<br />
Union County Health Unit<br />
301 American Road<br />
El Dorado, AR 71730<br />
Phone No.: (870) 863-3351<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4023 Cert. Card No.: 18813<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4023(B) Cert. Card No.: 18862<br />
Expiration Date: 12/31/2012<br />
County Located: Van Buren<br />
Ozark Health Home Care<br />
247 Quality Drive<br />
Clinton, AR 72031<br />
Phone No.: (501) 745-7004<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Personal<br />
Care Services<br />
License No.: AR4323 Cert. Card No.: 18814<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
County Located: Van Buren<br />
Van Buren County Health Unit<br />
526 Quality Drive<br />
Clinton, AR 72031<br />
Phone No.: (501) 745-2432<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4024 Cert. Card No.: 18815<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4024(B) Cert. Card No.: 18863<br />
Expiration Date: 12/31/2012<br />
County Located: Van Buren<br />
White River Area Agency on Aging, Inc.<br />
258 Joe Bowling Road, Apt. 8<br />
Clinton, AR 72031<br />
Phone No.: (877) 482-2354<br />
License Type: Class B Home Health Agency Providing Personal Care Services<br />
License No.: AR4701 Cert. Card No.: 18816<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Washington<br />
Alliance Home Health of Washington County<br />
540 East Appleby Road, Suite 102<br />
Fayetteville, AR 72703<br />
Phone No.: (479) 442-6363<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care, Extended Care<br />
& Personal Care Services<br />
License No.: AR4591 Cert. Card No.: 18817<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Washington<br />
Area Agency on Aging of Northwest <strong>Arkansas</strong>, Inc.<br />
2325 Green Acres Road<br />
Fayetteville, AR 72703<br />
Phone No.: (479) 442-5194<br />
License Type: Class B Home Health Agency Providing Personal Care Services<br />
License No.: AR4124 Cert. Card No.: 18818<br />
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
County Located: Washington<br />
Care IV Home Health Services<br />
3801 Great House Springs Road, Suite 1<br />
Johnson, AR 72741<br />
Phone No.: (479) 750-1155<br />
License Type: Class B Home Health Agency Providing Intermittent Skilled Care, Extended Care<br />
& Personal Care Services<br />
License No.: AR4698 Cert. Card No.: 18819<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Washington<br />
Northwest <strong>Arkansas</strong> Home Health<br />
2921 Old Missouri Road, Suite 1<br />
Springdale, AR 72764<br />
Phone No.: (479) 751-1601<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4626 Cert. Card No.: 18820<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Washington<br />
Washington Regional Medical Center Home Health<br />
88 Colt Square<br />
Fayetteville, AR 72703<br />
Phone No.: (479) 463-1840<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4138 Cert. Card No.: 18821<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: White<br />
Amedisys Home Health of Searcy<br />
2930 East Moore Avenue, Suite A<br />
Searcy, AR 72143-4831<br />
Phone No.: (501) 268-2292<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
License No.: AR4468 Cert. Card No.: 18822<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: White<br />
White County Health Unit<br />
112 Brantly Road<br />
Searcy, AR 72143<br />
Phone No.: (501) 268-6304<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4025 Cert. Card No.: 18823<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4025(B) Cert. Card No.: 18864<br />
Expiration Date: 12/31/2012<br />
County Located: White<br />
White County Medical Center - South Home Health<br />
3109 East Moore Avenue<br />
Searcy, AR 72143<br />
Phone No.: (501) 380-4702<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4330 Cert. Card No.: 18824<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: White<br />
White River Area Agency on Aging, Inc.<br />
309 East Race Street<br />
Searcy, AR 72143<br />
Phone No.: (877) 482-2334<br />
License Type: Class B Home Health Agency Providing Personal Care Services<br />
License No.: AR4773 Cert. Card No.: 18479<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Woodruff<br />
Intrepid USA Healthcare Services<br />
109 Ninth Street, Building 1<br />
McCrory, AR 72101-0365
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
Phone No.: (870) 731-5441<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4685 Cert. Card No.: 18826<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Woodruff<br />
White River Area Agency on Aging, Inc.<br />
105 East 2nd Street<br />
McCrory, AR 72101<br />
Phone No.: (877) 482-2353<br />
License Type: Class B Home Health Agency Providing Personal Care Services<br />
License No.: AR4318 Cert. Card No.: 18827<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Woodruff<br />
Woodruff County Health Unit<br />
623 North Ninth Street<br />
Augusta, AR 72006<br />
Phone No.: (870) 347-5915<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4026 Cert. Card No.: 18828<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Service<br />
License No.: AR4026(B) Cert. Card No.: 18865<br />
Expiration Date: 12/31/2012<br />
County Located: Yell<br />
John Ed Chambers Memorial Hospital, Inc. Home Health Agency<br />
Highway 10 at Detroit Street<br />
Danville, AR 72833<br />
Phone No.: (479) 495-2241<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Personal<br />
Care Services<br />
License No.: AR3644 Cert. Card No.: 18829<br />
Derivative B License Type: NA<br />
License No.: NA Cert. Card No.: NA<br />
Expiration Date: 12/31/2012<br />
County Located: Yell
Last Update: 06/14/12<br />
HOME HEALTH AGENCIES<br />
PROVIDER LIST & LICENSE VERIFICATION<br />
Yell County Health Unit Danville<br />
1309 East Eighth Street<br />
Danville, AR 72833<br />
Phone No.: (479) 495-7615<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4210 Cert. Card No.: 18830<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4210(B) Cert. Card No.: 18887<br />
Expiration Date: 12/31/2012<br />
County Located: Yell<br />
Yell County Health Unit Dardanelle<br />
719 North Fifth<br />
Dardanelle, AR 72834<br />
Phone No.: (479) 229-1496<br />
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />
License No.: AR4027 Cert. Card No.: 18831<br />
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />
Care & Personal Care Services<br />
License No.: AR4027(B) Cert. Card No.: 18866<br />
Expiration Date: 12/31/2012
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