1255314894 NPI number — LIFETOUCH HEALTH HOSPICE CARE

Table of content: (NPI 1558468157)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255314894 NPI number — LIFETOUCH HEALTH HOSPICE CARE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LIFETOUCH HEALTH HOSPICE CARE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1255314894
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/05/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14 PARKSTONE CIR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTH LITTLE ROCK
Provider Business Mailing Address State Name:
AR
Provider Business Mailing Address Postal Code:
72116-7086
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
501-748-3333
Provider Business Mailing Address Fax Number:
501-748-3334

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
222 BABISH LANE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RUSSELLVILLE
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72801-4500
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
479-498-2050
Provider Business Practice Location Address Fax Number:
479-498-2053
Provider Enumeration Date:
11/29/2005

Additional Information

Authorized Official

Authorized Official Last Name:
BELL
Authorized Official First Name:
BRIAN
Authorized Official Middle Name:
W
Authorized Official Title or Position:
PRESIDENT & CHIEF EXECUTIVE OFFICER
Authorized Official Telephone Number:
501-748-3333

Provider Taxonomy Codes

  • Taxonomy code: 251G00000X , with the licence number:  AR4236 , registered in the state of AR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 152727747 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".




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