Provider Demographics
NPI:1265909303
Name:A-LIST HOME CARE, LLC
Entity type:Organization
Organization Name:A-LIST HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SYDNEY
Authorized Official - Middle Name:L
Authorized Official - Last Name:BAUGHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-636-4200
Mailing Address - Street 1:200 S 20TH ST STE A2
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72758-1121
Mailing Address - Country:US
Mailing Address - Phone:479-636-4200
Mailing Address - Fax:479-636-5958
Practice Address - Street 1:200 S 20TH ST STE A2
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-1121
Practice Address - Country:US
Practice Address - Phone:479-636-4200
Practice Address - Fax:479-636-5958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-26
Last Update Date:2018-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care