home health agencies provider list & license verification - Arkansas ...

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
County Located: Arkansas
Area Agency on Aging of Southeast Arkansas, Inc. - Arkansas County
807 North Main
Stuttgart, AR 72160
Phone No.: (870) 673-7146
License Type: Class A Home Health Agency Providing Intermittent Skilled Care, Extended Care
& Personal Care Services
License No.: AR4576 Cert. Card No.: 18613
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Arkansas
Arkansas County Health Unit
1616 South Madison
DeWitt, AR 72042
Phone No.: (870) 946-2662
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4040 Cert. Card No.: 18614
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4040(B) Cert. Card No.: 18876
Expiration Date: 12/31/2012
County Located: Arkansas
Arkansas County Health Unit
1602 North Buerkle
Stuttgart, AR 72160
Phone No.: (870) 673-6601
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4028 Cert. Card No.: 18615
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4028(B) Cert. Card No.: 18867
Expiration Date: 12/31/2012
County Located: Arkansas
DeWitt Hospital Home Health Agency
1626 South Madison, Suite A
DeWitt, AR 72042
Phone No.: (870) 946-2301
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4748 Cert. Card No.: 18616

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
Derivative B License Type: Derivative B Home Health Agency Providing Personal Care Services
License No.: AR4748(B) Cert. Card No.: 18930
Expiration Date: 12/31/2012
County Located: Ashley
ACMC Family Home Health
211 Pine Street
Crossett, AR 71635
Phone No.: (870) 364-5555
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4428 Cert. Card No.: 18617
Derivative B License Type: Derivative B Home Health Agency Providing Personal Care Services
License No.: AR4428(B) Cert. Card No.: 18902
Expiration Date: 12/31/2012
County Located: Ashley
Area Agency on Aging of Southeast Arkansas, Inc. - Ashley County
208 Alabama
Crossett, AR 71635
Phone No.: (870) 364-7788
License Type: Class A Home Health Agency Providing Intermittent Skilled Care, Extended Care
& Personal Care Services
License No.: AR3509 Cert. Card No.: 18618
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Ashley
Ashley County Health Unit
117 Pine Street
Crossett, AR 71635-2905
Phone No.: (870) 364-4035
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4726 Cert. Card No.: 18619
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4726(B) Cert. Card No.: 18924
Expiration Date: 12/31/2012
County Located: Ashley
Ashley County Health Unit
401 North Cherry Street
Hamburg, AR 71646

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
Phone No.: (870) 853-8980
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR3972 Cert. Card No.: 18620
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR3972(B) Cert. Card No.: 18834
Expiration Date: 12/31/2012
County Located: Baxter
Baxter County Health Unit
213 East Sixth Street, Suite 40
Mountain Home, AR 72653
Phone No.: (870) 424-6655
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR3973 Cert. Card No.: 18621
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR3973(B) Cert. Card No.: 18835
Expiration Date: 12/31/2012
County Located: Baxter
Baxter Regional Medical Center Home Health
701 Burnett Drive
Mountain Home, AR 72653
Phone No.: (870) 508-1790
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Personal
Care Services
License No.: AR4722 Cert. Card No.: 18622
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Baxter
Home Bound Medical
358 Highway 5 North
Mountain Home, AR 72653
Phone No.: (870) 425-2446
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4607 Cert. Card No.: 18623
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care, Extended Care & Personal Care Services
License No.: AR4607(B) Cert. Card No.: 18915
Expiration Date: 12/31/2012

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
County Located: Washington
Alliance Home Health of Benton County
540 East Appleby Road, Suite 103
Fayetteville, AR 72703
Phone No.: 479-636-2611
License Type: Class A Home Health Agency Providing Intermittent Skilled Care, Extended Care
& Personal Care Services
License No.: AR4782 Cert. Card No.: 18489
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Benton
CareNetwork of Lowell
2860 West Walnut Avenue
Rogers, AR 72756
Phone No.: (479) 621-8300
License Type: Class A Home Health Agency Providing Intermittent Skilled Care, Extended Care
& Personal Care Services
License No.: AR4324 Cert. Card No.: 18625
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Benton
Mercy Home Health
1200 West Walnut Street, Suite 1800
Rogers, AR 72756-3541
Phone No.: (479) 936-2978
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Personal
Care Services
License No.: AR4608 Cert. Card No.: 18626
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Boone
Area Agency on Aging of Northwest Arkansas, Inc.
1510 Rock Springs Road
Harrison, AR 72601
Phone No.: (870) 741-1144
License Type: Class B Home Health Agency Providing Personal Care Services

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
License No.: AR3878 Cert. Card No.: 18627
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Boone
Atlis, Inc.
320 West Bower
Harrison, AR 72601
Phone No.: (870) 741-7512
License Type: Class B Home Health Agency Providing Intermittent Skilled Care, Extended
Care* & Personal Care Services
License No.: AR4693 Cert. Card No.: 18628
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Boone
Boone County Health Unit
1622 Campus Drive
Harrison, AR 72601
Phone No.: (870) 743-6001
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR3974 Cert. Card No.: 18629
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR3974(B) Cert. Card No.: 18836
Expiration Date: 12/31/2012
County Located: Boone
Home Health Agency of North Arkansas Regional Medical Center
825 North Spring
Harrison, AR 72601
Phone No.: (870) 414-4100
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Personal
Care Services
License No.: AR3576 Cert. Card No.: 18630
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Bradley
Area Agency on Aging of Southeast Arkansas, Inc. - Bradley County

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
1105 East Church Street
Warren, AR 71671-3512
Phone No.: (870) 226-5769
License Type: Class A Home Health Agency Providing Intermittent Skilled Care, Extended Care
& Personal Care Services
License No.: AR4736 Cert. Card No.: 18631
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Bradley
Bradley County Health Unit
208 North Bragg Street
Warren, AR 71671
Phone No.: (870) 226-6990
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4275 Cert. Card No.: 18632
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4275(B) Cert. Card No.: 18889
Expiration Date: 12/31/2012
County Located: Bradley
Bradley County Medical Center Home Health
204 Bragg Street
Warren, AR 71671
Phone No.: (870) 226-3790
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Personal
Care Services
License No.: AR4274 Cert. Card No.: 18633
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Calhoun
Calhoun County Health Unit
1119 Prestress Drive
Hampton, AR 71744
Phone No.: (870) 798-2808
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4037 Cert. Card No.: 18634
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
License No.: AR4037(B) Cert. Card No.: 18874
Expiration Date: 12/31/2012
County Located: Carroll
Carroll County Health Unit
402 Hailey Road
Berryville, AR 72616
Phone No.: (870) 423-2506
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR3976 Cert. Card No.: 18635
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR3976(B) Cert. Card No.: 18837
Expiration Date: 12/31/2012
County Located: Carroll
Northwest Arkansas HomeCare
2 Parkcliff Drive
Holiday Island, AR 72631
Phone No.: (479) 253-5554
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4471 Cert. Card No.: 18636
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Carroll
St. John's Home Health
804 West Freeman, Suite 4
Berryville, AR 72616
Phone No.: 870-423-5255
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4614 Cert. Card No.: 18637
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Chicot
Area Agency on Aging of Southeast Arkansas, Inc. - Chicot County
929 Lakeside Street
Lake Village, AR 71653
Phone No.: (870) 265-3841

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
License Type: Class A Home Health Agency Providing Intermittent Skilled Care, Extended Care
& Personal Care Services
License No.: AR4728 Cert. Card No.: 18638
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Chicot
Chicot County Health Unit
608 Highway 65 & 82 South, Suite A
Lake Village, AR 71653
Phone No.: (870) 265-3986
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4407 Cert. Card No.: 18639
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4407(B) Cert. Card No.: 18897
Expiration Date: 12/31/2012
County Located: Chicot
Chicot Memorial Medical Center Home Health Agency
2729 South Highway 65 and 82
Lake Village, AR 71653-6136
Phone No.: (870) 265-5351
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4650 Cert. Card No.: 18640
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Clark
Area Agency on Aging of West Central Arkansas
121 North 25th Street
Arkadelphia, AR 71923
Phone No.: (870) 246-8708
License Type: Class B Home Health Agency Providing Personal Care Services
License No.: AR4341 Cert. Card No.: 18641
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Clark
Baptist Health Home Health - Arkadelphia

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
3050 Twin Rivers Drive
Arkadelphia, AR 71923
Phone No.: (870) 245-1040
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Personal
Care Services
License No.: AR4133 Cert. Card No.: 18642
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Clark
Clark County Health Unit
605 South Tenth Street
Arkadelphia, AR 71923
Phone No.: (870) 246-4078
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR3978 Cert. Card No.: 18643
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR3978(B) Cert. Card No.: 18838
Expiration Date: 12/31/2012
County Located: Clay
Clay County Health Unit
1009 South Garfield
Piggott, AR 72454
Phone No.: (870) 598-5566
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4038 Cert. Card No.: 18644
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4038(B) Cert. Card No.: 18875
Expiration Date: 12/31/2012
County Located: Clay
East Arkansas Area Agency on Aging, Inc. - Clay County
215 North Second Street
Piggott, AR 72454
Phone No.: (870) 598-2939
License Type: Class B Home Health Agency Providing Personal Care Services
License No.: AR3325 Cert. Card No.: 18645
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA

Expiration Date: 12/31/2012
Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
County Located: Clay
Piggott Community Hospital Home Health Agency
1206 Gordon Duckworth Drive
Piggott, AR 72454
Phone No.: (870) 598-3133
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR3945 Cert. Card No.: 18646
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Cleburne
Baptist Health Home Health - Heber Springs
1709 West Main
Heber Springs, AR 72543
Phone No.: (501) 206-0025
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Personal
Care Services
License No.: AR4203 Cert. Card No.: 18647
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Cleburne
Cleburne County Health Unit
Judge Claude Dill Office Complex
2319 Highway 110 West, Suite C
Heber Springs, AR 72543
Phone No.: (501) 362-4602
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4654 Cert. Card No.: 18648
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4654(B) Cert. Card No.: 18917
Expiration Date: 12/31/2012
County Located: Cleburne
White River Area Agency on Aging
1024 Wilburn Road
Heber Springs, AR 72543
Phone No.: (870) 362-8615

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
License Type: Class B Home Health Agency Providing Personal Care Services
License No.: AR4750 Cert. Card No.: 18649
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Cleveland
Area Agency on Aging of Southeast Arkansas, Inc. - Cleveland County
402 North Main Street, Suite #3
Rison, AR 71665
Phone No.: (870) 325-7455
License Type: Class A Home Health Agency Providing Intermittent Skilled Care, Extended Care
& Personal Care Services
License No.: AR4496 Cert. Card No.: 18650
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Cleveland
Cleveland County Health Unit
409 East Magnolia Street
Rison, AR 71665
Phone No.: (870) 325-6132
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4033 Cert. Card No.: 18651
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4033(B) Cert. Card No.: 18871
Expiration Date: 12/31/2012
County Located: Columbia
Columbia County Health Unit
207 West Jefferson
Magnolia, AR 71753
Phone No.: (870) 234-7183
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4725 Cert. Card No.: 18652
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4725(B) Cert. Card No.: 18923
Expiration Date: 12/31/2012
County Located: Columbia

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
Magnolia Home Health Agency
833 North Washington
Magnolia, AR 71753
Phone No.: (870) 235-3000
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4639 Cert. Card No.: 18653
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Columbia
Southwest Arkansas Development Council Home Health - Columbia County
1501 North Vine Street
Magnolia, AR 71754
Phone No.: (870) 234-7752
License Type: Class B Home Health Agency Providing Personal Care Services
License No.: AR4121 Cert. Card No.: 18654
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Conway
Area Agency on Aging of West Central Arkansas
1519-A East Harding Street
Morrilton, AR 72110
Phone No.: (501) 354-0484
License Type: Class B Home Health Agency Providing Personal Care Services
License No.: AR4690 Cert. Card No.: 18655
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Conway
Conway County Health Unit
100 Hospital Drive
Morrilton, AR 72110
Phone No.: (501) 354-5434
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR3981 Cert. Card No.: 18656
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR3981(B) Cert. Card No.: 18839
Expiration Date: 12/31/2012

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
County Located: Conway
Petit Jean Home Health
4 Hospital Drive
Morrilton, AR 72110-4510
Phone No.: (501) 354-6262
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4770 Cert. Card No.: 18475
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4770(B) Cert. Card No.: 18476
Expiration Date: 12/31/2012
County Located: Craighead
Craighead County Health Unit
611 East Washington Avenue, Suite C
Jonesboro, AR 72401
Phone No.: (870) 933-8734
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4384 Cert. Card No.: 18658
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4384(B) Cert. Card No.: 18895
Expiration Date: 12/31/2012
County Located: Craighead
East Arkansas Area Agency on Aging, Inc. - Craighead County
Fountain Square, 2005 East Highland Drive
Jonesboro, AR 72401
Phone No.: (870) 930-2202
License Type: Class B Home Health Agency Providing Personal Care Services
License No.: AR3442 Cert. Card No.: 18659
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Craighead
Extended Family Enterprises, Inc.
2710 Phillips Drive
Jonesboro, AR 72401
Phone No.: (870) 932-7463
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Extended
Care Services

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
License No.: AR4224 Cert. Card No.: 18660
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Craighead
Home Health Professionals and Hospice
2222 Spence Circle
Jonesboro, AR 72401
Phone No.: (870) 932-7630
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4515 Cert. Card No.: 18661
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Craighead
St. Bernards Home Care
1726 Marie Circle
Jonesboro, AR 72401
Phone No.: (870) 972-4502
License Type: Class A Home Health Agency Providing Intermittent Skilled Care, Extended Care
& Personal Care Services
License No.: AR3324 Cert. Card No.: 18662
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Crawford
Amedisys Home Health Care of Arkansas
2700 Bryan Road, Suite A
Van Buren, AR 72956-5059
Phone No.: (479) 474-4892
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Personal
Care Services
License No.: AR4358 Cert. Card No.: 18663
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Crittenden
Crittenden County Health Unit
901 North Seventh Street

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
West Memphis, AR 72301
Phone No.: (870) 732-3764
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR3983 Cert. Card No.: 18664
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR3983(B) Cert. Card No.: 18840
Expiration Date: 12/31/2012
County Located: Crittenden
Crittenden Regional Hospital - Home Health West Memphis
200 Tyler, CMH Pavilion, Suite 1
West Memphis, AR 72301
Phone No.: (870) 732-7777
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Extended
Care Services
License No.: AR4398 Cert. Card No.: 18665
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Crittenden
East Arkansas Area Agency on Aging, Inc. - Crittenden County
720 Calvin Avery, Suite B & D
West Memphis, AR 72301
Phone No.: (870) 735-2262
License Type: Class B Home Health Agency Providing Personal Care Services
License No.: AR3755 Cert. Card No.: 18666
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Crittenden
ProCare
308 South Rhodes
West Memphis, AR 72301
Phone No.: (870) 732-3353
License Type: Class B Home Health Agency Providing Intermittent Skilled Care & Extended
Care Services
License No.: AR4110 Cert. Card No.: 18667
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
County Located: Cross
Cross County Health Unit
701 Julia Avenue East
Wynne, AR 72396-3515
Phone No.: (870) 238-2101
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4727 Cert. Card No.: 18668
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4727(B) Cert. Card No.: 18925
Expiration Date: 12/31/2012
County Located: Cross
CrossRidge Community Hospital Home Health Agency
732 East Eldridge Avenue
Wynne, AR 72396
Phone No.: (870) 238-3300
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR3891 Cert. Card No.: 18669
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Cross
East Arkansas Area Agency on Aging, Inc. - Cross County
1421 South Falls
Wynne, AR 72396
Phone No.: (870) 238-3816
License Type: Class B Home Health Agency Providing Personal Care Services
License No.: AR3444 Cert. Card No.: 18670
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Dallas
Dallas County Health Unit
201 North Spring Street
Fordyce, AR 71742
Phone No.: (870) 352-2911
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4385 Cert. Card No.: 18671

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4385(B) Cert. Card No.: 18896
Expiration Date: 12/31/2012
County Located: Dallas
Dallas County Medical Center Home Care
300 North Clifton Street
Fordyce, AR 71742-3055
Phone No.: (870) 352-2603
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4546 Cert. Card No.: 18672
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Dallas
Southwest Arkansas Development Council, Inc. Home Health Agency
608 Moro
Fordyce, AR 71742
Phone No.: (870) 352-5633
License Type: Class B Home Health Agency Providing Personal Care Services
License No.: AR4710 Cert. Card No.: 18673
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Desha
Area Agency on Aging of Southeast Arkansas, Inc. - Desha County
2902 Highway 65 North
McGehee, AR 71654
Phone No.: (870) 222-6960
License Type: Class B Home Health Agency Providing Extended Care & Personal Care Services
License No.: AR4364 Cert. Card No.: 18674
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Desha
Delta Memorial Hospital Home Health Agency
803 Highway 65 South
Dumas, AR 71639
Phone No.: (870) 382-8184

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4590 Cert. Card No.: 18675
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Desha
Desha County Health Unit
751 Highway 65 South
Dumas, AR 71639
Phone No.: (888) 275-2580
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4043 Cert. Card No.: 18676
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4043(B) Cert. Card No.: 18878
Expiration Date: 12/31/2012
County Located: Desha
Southeast Arkansas Home Health Agency
901 South Third Street
McGehee, AR 71654-2563
Phone No.: (870) 222-3806
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4658 Cert. Card No.: 18677
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4658(B) Cert. Card No.: 18918
Expiration Date: 12/31/2012
County Located: Drew
Area Agency on Aging of Southeast Arkansas, Inc. - Drew County
110 East Gaines
Monticello, AR 71657
Phone No.: (870) 367-9873
License Type: Class A Home Health Agency Providing Intermittent Skilled Care, Extended Care
& Personal Care Services
License No.: AR3511 Cert. Card No.: 18678
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Drew

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
Drew County Health Unit
600 C Highway 425 North
Monticello, AR 71655
Phone No.: (870) 367-0283
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4415 Cert. Card No.: 18679
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4415(B) Cert. Card No.: 18900
Expiration Date: 12/31/2012
County Located: Drew
Drew Memorial Hospital Home Health Agency
821 Highway 278 East
Monticello, AR 71655
Phone No.: (870) 367-2411
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Personal
Care Services
License No.: AR4466 Cert. Card No.: 18680
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Faulkner
Conway Regional HomeCare Services
2134 Robinson
Conway, AR 72034
Phone No.: (501) 329-9377
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Extended
Care Services
License No.: AR4068 Cert. Card No.: 18681
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care, Extended Care & Personal Care Services
License No.: AR4068(B) Cert. Card No.: 18880
Expiration Date: 12/31/2012
County Located: Faulkner
Faulkner County Health Unit
1101 Museum Road, Suite 7
Conway, AR 72032
Phone No.: (501) 450-4959
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4413 Cert. Card No.: 18682

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4413(B) Cert. Card No.: 18898
Expiration Date: 12/31/2012
County Located: Franklin
Visiting Nurses Agency of Western Arkansas, Inc.
257 Airport Road, Suite D
Ozark, AR 72949-9266
Phone No.: (479) 667-4870
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Extended
Care Services
License No.: AR4729 Cert. Card No.: 18683
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care, Extended Care & Personal Care Services
License No.: AR4729(B) Cert. Card No.: 18926
Expiration Date: 12/31/2012
County Located: Fulton
Fulton County Health Unit
510 South Main Street
Salem, AR 72576
Phone No.: (870) 895-3300
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4147 Cert. Card No.: 18684
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4147(B) Cert. Card No.: 18884
Expiration Date: 12/31/2012
County Located: Fulton
North Arkansas HomeCare
111 North Main Street, Suite 1
Salem, AR 72576
Phone No.: (870) 895-2273
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4781 Cert. Card No.: 18488
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Fulton
Spring River Home Health Agency

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
121 South Pickren Street
Salem, AR 72576
Phone No.: (870) 895-2627
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Personal
Care Services
License No.: AR4574 Cert. Card No.: 18686
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Fulton
White River Area Agency on Aging, Inc.
334 North Main Street
Salem, AR 72576
Phone No.: (877) 895-4034
License Type: Class B Home Health Agency Providing Personal Care Services
License No.: AR4758 Cert. Card No.: 18687
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Garland
Area Agency on Aging of West Central Arkansas
905 West Grand Avenue
Hot Springs, AR 71913
Phone No.: (501) 321-2811
License Type: Class B Home Health Agency Providing Personal Care Services
License No.: AR4176 Cert. Card No.: 18688
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Garland
Care IV Home Health
100 Ridgeway, Suite 3
Hot Springs, AR 71901
Phone No.: (501) 623-5656
License Type: Class A Home Health Agency Providing Intermittent Skilled Care, Extended Care
& Personal Care Services
License No.: AR4326 Cert. Card No.: 18689
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care, Extended Care & Personal Care Services
License No.: AR4326(B) Cert. Card No.: 18891

Expiration Date: 12/31/2012
Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
County Located: Garland
Central Arkansas HomeCare
1820 Central Avenue, Suite C
Hot Springs, AR 71901-6847
Phone No.: (501) 627-0540
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4761 Cert. Card No.: 18690
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Garland
Garland County Health Unit
1425 Malvern Avenue
Hot Springs, AR 71901
Phone No.: (501) 624-3397
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR3988 Cert. Card No.: 18691
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR3988(B) Cert. Card No.: 18841
Expiration Date: 12/31/2012
County Located: Garland
Gentiva Health Services
4328 Central Avenue, Suite E
Hot Springs, AR 71913-5907
Phone No.: (501) 525-5888
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Extended
Care* Services
License No.: AR4681 Cert. Card No.: 18692
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care, Extended Care* & Personal Care Services
License No.: AR4681(B) Cert. Card No.: 18919
Expiration Date: 12/31/2012
County Located: Garland
NPMC Home Touch Healthcare
1900 Malvern Avenue, Suite 205
Hot Springs, AR 71901
Phone No.: (501) 321-0708

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4587 Cert. Card No.: 18693
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Garland
St. Joseph's Mercy Health Center HHA
174 Cornerstone Lane
Hot Springs, AR 71913
Phone No.: (501) 318-6800
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4146 Cert. Card No.: 18694
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Grant
Area Agency on Aging of Southeast Arkansas, Inc. - Grant County
811 East Center Street
Sheridan, AR 72150
Phone No.: (870) 942-4842
License Type: Class A Home Health Agency Providing Intermittent Skilled Care, Extended Care
& Personal Care Services
License No.: AR3742 Cert. Card No.: 18695
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Grant
Grant County Health Unit
204 North Oak, Suite A
Sheridan, AR 72150
Phone No.: (870) 942-7845
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4345 Cert. Card No.: 18696
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4345(B) Cert. Card No.: 18892
Expiration Date: 12/31/2012
County Located: Greene
Arkansas Methodist Medical Center Home Health Agency

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
900 West Kingshighway
Paragould, AR 72450
Phone No.: (870) 239-7000
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Personal
Care Services
License No.: AR4057 Cert. Card No.: 18697
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Greene
East Arkansas Area Agency on Aging, Inc. - Greene County
120 West Highland
Paragould, AR 72450
Phone No.: (870) 236-3903
License Type: Class B Home Health Agency Providing Personal Care Services
License No.: AR3952 Cert. Card No.: 18698
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Greene
Greene County Health Unit
200 North Second
Paragould, AR 72450-0576
Phone No.: (870) 236-1716
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4510 Cert. Card No.: 18699
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4510(B) Cert. Card No.: 18904
Expiration Date: 12/31/2012
County Located: Hempstead
Hempstead County Health Unit
100 East 20th, Suite E & F
Hope, AR 71801
Phone No.: (870) 777-9424
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4251 Cert. Card No.: 18700
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4251(B) Cert. Card No.: 18888

Expiration Date: 12/31/2012
Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
County Located: Hempstead
Southwest Arkansas Development Council Home Health - Hempstead/Nevada Counties
104 South Main Street
Hope, AR 71802
Phone No.: (870) 777-2629
License Type: Class B Home Health Agency Providing Personal Care Services
License No.: AR4427 Cert. Card No.: 18701
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Hot Spring
Hot Spring County Health Unit
2204 East Sullenberger
Malvern, AR 72104
Phone No.: (501) 332-6996
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR3992 Cert. Card No.: 18702
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR3992(B) Cert. Card No.: 18842
Expiration Date: 12/31/2012
County Located: Hot Spring
Hot Spring County Home Care
1001 Schneider Drive
Malvern, AR 72104
Phone No.: (501) 337-4663
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR3830 Cert. Card No.: 18703
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Howard
Howard County Health Unit
201 East Hempstead, Suite 2
Nashville, AR 71852
Phone No.: (870) 845-2058
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR3993 Cert. Card No.: 18704

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR3993(B) Cert. Card No.: 18843
Expiration Date: 12/31/2012
County Located: Howard
Southwest Arkansas Development Council, Inc. Home Health Agency
206 East Howard
Nashville, AR 71852
Phone No.: (870) 845-4706
License Type: Class B Home Health Agency Providing Personal Care Services
License No.: AR4709 Cert. Card No.: 18705
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Howard
Southwest Arkansas HomeCare
132 Medical Circle, Suite 400
Nashville, AR 71852
Phone No.: (870) 845-8206
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4682 Cert. Card No.: 18706
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Independence
Amedisys Home Health
2236 Harrison Street
Batesville, AR 72501-7417
Phone No.: (870) 793-1483
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4731 Cert. Card No.: 18707
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4731(B) Cert. Card No.: 18927
Expiration Date: 12/31/2012
County Located: Independence
Approve Home Medical Services, Inc.
2000 East Harrison Street, Suite E
Batesville, AR 72501

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
Phone No.: (870) 698-1123
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4069 Cert. Card No.: 18708
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care, Extended Care & Personal Care Services
License No.: AR4069(B) Cert. Card No.: 18881
Expiration Date: 12/31/2012
County Located: Independence
Independence County Health Unit
120 Weaver Avenue
Batesville, AR 72501
Phone No.: (870) 793-8852
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR3994 Cert. Card No.: 18709
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR3994(B) Cert. Card No.: 18844
Expiration Date: 12/31/2012
County Located: Independence
White River Area Agency on Aging, Inc.
505 South St. Louis Street
Batesville, AR 72503
Phone No.: (870) 612-3000
License Type: Class B Home Health Agency Providing Personal Care Services
License No.: AR4762 Cert. Card No.: 18465
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Izard
CMC Home Health
54 Grasse Street
Calico Rock, AR 72519-0438
Phone No.: (870) 297-3738
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4635 Cert. Card No.: 18711
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Izard

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
Izard County Health Unit
1015 Haley Street
Melbourne, AR 72556
Phone No.: (870) 368-4966
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4030 Cert. Card No.: 18712
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4030(B) Cert. Card No.: 18868
Expiration Date: 12/31/2012
County Located: Izard
White River Area Agency on Aging, Izard County
800 Highway 69 East
Melbourne, AR 72556
Phone No.: (870) 368-3243
License Type: Class B Home Health Agency Providing Personal Care Services
License No.: AR4452 Cert. Card No.: 18713
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Jackson
Harris Home Health
1301 McLain Street
Newport, AR 72112
Phone No.: (870) 523-0390
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4531 Cert. Card No.: 18714
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4531(B) Cert. Card No.: 18906
Expiration Date: 12/31/2012
County Located: Jackson
Jackson County Health Unit
1505 North Pecan
Newport, AR 72112
Phone No.: (870) 523-4583
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR3995 Cert. Card No.: 18715
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
License No.: AR3995(B) Cert. Card No.: 18845
Expiration Date: 12/31/2012
County Located: Jackson
White River Area Agency on Aging, Inc.
2600 Doyle Street, Suite B
Newport, AR 72112
Phone No.: (870) 523-4982
License Type: Class B Home Health Agency Providing Personal Care Services
License No.: AR4464 Cert. Card No.: 18716
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Jefferson
Area Agency on Aging of Southeast Arkansas, Inc. - Jefferson County
200 East Eleventh, Suite K
Pine Bluff, AR 71611
Phone No.: (870) 543-6300
License Type: Class A Home Health Agency Providing Intermittent Skilled Care, Extended Care
& Personal Care Services
License No.: AR4763 Cert. Card No.: 18717
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Jefferson
Jefferson County Health Unit
3400 West 34th Street
Pine Bluff, AR 71603
Phone No.: (870) 850-6978
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4382 Cert. Card No.: 18718
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4382(B) Cert. Card No.: 18920
Expiration Date: 12/31/2012
County Located: Jefferson
Jefferson HomeCare
3905 South Hazel Street
Pine Bluff, AR 71603-6237
Phone No.: (870) 534-3420

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Personal
Care Services
License No.: AR4570 Cert. Card No.: 18719
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Johnson
Johnson County Health Unit
1219 South Rogers Avenue
Clarksville, AR 72830
Phone No.: (479) 754-3002
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4589 Cert. Card No.: 18720
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4589(B) Cert. Card No.: 18908
Expiration Date: 12/31/2012
County Located: Johnson
Johnson Regional HomeCare
401 Rogers
Clarksville, AR 72830
Phone No.: (479) 754-5448
License Type: Class A Home Health Agency Providing Intermittent Skilled Care, Extended Care
& Personal Care Services
License No.: AR4455 Cert. Card No.: 18721
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Lafayette
Lafayette County Health Unit
1113 Chestnut Street
Lewisville, AR 71845
Phone No.: (870) 921-4509
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR3998 Cert. Card No.: 18723
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR3998(B) Cert. Card No.: 18846
Expiration Date: 12/31/2012

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
County Located: Lafayette
Southwest Arkansas Development Council, Inc. Home Health - Lafayette County
226 Spruce Street
Lewisville, AR 71845
Phone No.: (870) 921-5456
License Type: Class B Home Health Agency Providing Personal Care Services
License No.: AR4711 Cert. Card No.: 18724
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Lawrence
East Arkansas Area Agency on Aging, Inc.-Lawrence County
500 S. W. Lawrence
Hoxie, AR 72433
Phone No.: (870) 886-2460
License Type: Class B Home Health Agency Providing Personal Care Services
License No.: AR3607 Cert. Card No.: 18725
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Lawrence
Lawrence County Health Unit
1050 West Free Street
Walnut Ridge, AR 72476
Phone No.: (870) 886-3201
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR3999 Cert. Card No.: 18726
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR3999(B) Cert. Card No.: 18847
Expiration Date: 12/31/2012
County Located: Lee
Lee County Health Unit
141 North Hicky Street
Marianna, AR 72360
Phone No.: (870) 295-2400
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4000 Cert. Card No.: 18727
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
License No.: AR4000(B) Cert. Card No.: 18848
Expiration Date: 12/31/2012
County Located: Lincoln
Area Agency on Aging of Southeast Arkansas, Inc. - Lincoln County
700 South Lincoln
Star City, AR 71667
Phone No.: (870) 628-5147
License Type: Class A Home Health Agency Providing Intermittent Skilled Care, Extended Care
& Personal Care Services
License No.: AR3514 Cert. Card No.: 18728
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Lincoln
Lincoln County Health Unit
214 South Lincoln
Star City, AR 71667
Phone No.: (870) 628-5072
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4651 Cert. Card No.: 18729
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4651(B) Cert. Card No.: 18916
Expiration Date: 12/31/2012
County Located: Little River
Little River County Health Unit
150 Keller
Ashdown, AR 71822
Phone No.: (870) 898-3141
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4036 Cert. Card No.: 18730
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4036(B) Cert. Card No.: 18873
Expiration Date: 12/31/2012
County Located: Little River
Little River Memorial Hospital HHA
450 West Locke Street, Suite A
Ashdown, AR 71822

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
Phone No.: (870) 898-4120
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4705 Cert. Card No.: 18731
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4705(B) Cert. Card No.: 18922
Expiration Date: 12/31/2012
County Located: Logan
Logan County Health Unit Booneville
721 West First Street
Booneville, AR 72927
Phone No.: (479) 675-4370
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4041 Cert. Card No.: 18732
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4041(B) Cert. Card No.: 18877
Expiration Date: 12/31/2012
County Located: Logan
Logan County Health Unit Paris
150 South Lowder Street
Paris, AR 72855
Phone No.: (479) 963-3159
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4130 Cert. Card No.: 18733
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4130(B) Cert. Card No.: 18883
Expiration Date: 12/31/2012
County Located: Logan
Visiting Nurses Agency of Western Arkansas, Inc.
550 Heritage
Booneville, AR 72927
Phone No.: (479) 675-4234
License Type: Class B Home Health Agency Providing Personal Care Services
License No.: AR4599 Cert. Card No.: 18734
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
County Located: Logan
Visiting Nurses Agency of Western Arkansas, Inc.
333 South First Street
Paris, AR 72855
Phone No.: (479) 963-6868
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Extended
Care Services
License No.: AR4594 Cert. Card No.: 18735
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care, Extended Care & Personal Care Services
License No.: AR4594(B) Cert. Card No.: 18910
Expiration Date: 12/31/2012
County Located: Logan
Western Valley Home Health
880 West Main
Booneville, AR 72927
Phone No.: (479) 675-2800
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Personal
Care Services
License No.: AR4627 Cert. Card No.: 18736
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Lonoke
Lonoke County Health Unit
306 North Center
Lonoke, AR 72086
Phone No.: (501) 676-3260
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4157 Cert. Card No.: 18737
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4157(B) Cert. Card No.: 18885
Expiration Date: 12/31/2012
County Located: Marion
Baxter Regional Medical Center Home Health Marion County Office
414 West Old Main Street
Yellville, AR 72687
Phone No.: (870) 449-5559

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Personal
Care Services
License No.: AR4723 Cert. Card No.: 18738
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Marion
Marion County Health Unit
707 Highway 202 West
Yellville, AR 72687
Phone No.: (870) 449-6363
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4004 Cert. Card No.: 18739
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4004(B) Cert. Card No.: 18849
Expiration Date: 12/31/2012
County Located: Miller
Integrity Home Health
3809 East Ninth Street, Suite 12
Texarkana, AR 71854
Phone No.: (870) 773-4900
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4499 Cert. Card No.: 18740
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Miller
Jordan Health Services
4100 Jefferson Avenue, Suite A
Texarkana, AR 71854-1529
Phone No.: (870) 772-0958
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4777 Cert. Card No.: 18483
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Miller
Miller County Health Unit

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
503 Walnut
Texarkana, AR 71854
Phone No.: (870) 773-2108
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4005 Cert. Card No.: 18742
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4005(B) Cert. Card No.: 18850
Expiration Date: 12/31/2012
County Located: Miller
Southwest Arkansas Development Council, Inc. Home Health Agency -- Miller/Little River
Counties
3902 Sanderson Lane
Texarkana, AR 71854
Phone No.: (870) 773-0819
License Type: Class B Home Health Agency Providing Personal Care Services
License No.: AR4708 Cert. Card No.: 18743
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Mississippi
East Arkansas Area Agency on Aging, Inc. - Mississippi County
1101-A David Lane
Blytheville, AR 72315
Phone No.: (870) 763-2278
License Type: Class B Home Health Agency Providing Personal Care Services
License No.: AR4252 Cert. Card No.: 18744
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Mississippi
Home Health Professionals, Inc.
509 Hutson Street
Blytheville, AR 72316
Phone No.: (870) 762-1825
License Type: Class A Home Health Agency Providing Intermittent Skilled Care, Extended Care
& Personal Care Services
License No.: AR3961 Cert. Card No.: 18745
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA

Expiration Date: 12/31/2012
Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
County Located: Mississippi
Mississippi County Health Unit Blytheville
1299 North Tenth Street
Blytheville, AR 72316
Phone No.: (870) 763-7064
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4006 Cert. Card No.: 18746
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4006(B) Cert. Card No.: 18851
Expiration Date: 12/31/2012
County Located: Mississippi
Mississippi County Health Unit Osceola
720 West Lee Street
Osceola, AR 72370
Phone No.: (870) 563-2521
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4045 Cert. Card No.: 18747
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4045(B) Cert. Card No.: 18879
Expiration Date: 12/31/2012
County Located: Monroe
CareLink
803 Jefferson
Clarendon, AR 72029
Phone No.: (870) 747-3388
License Type: Class B Home Health Agency Providing Personal Care Services
License No.: AR3292 Cert. Card No.: 18748
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Monroe
Monroe County Health Unit
409 West Fourth Street
Brinkley, AR 72021
Phone No.: (870) 734-1724
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
License No.: AR4734 Cert. Card No.: 18749
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4734(B) Cert. Card No.: 18928
Expiration Date: 12/31/2012
County Located: Montgomery
Montgomery County Health Unit
346 Luzerne
Mount Ida, AR 71957
Phone No.: (870) 867-3138
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4008 Cert. Card No.: 18750
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4008(B) Cert. Card No.: 18852
Expiration Date: 12/31/2012
County Located: Nevada
Nevada County Health Unit
1501 West First North
Prescott, AR 71857
Phone No.: (870) 887-2640
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4009 Cert. Card No.: 18751
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4009(B) Cert. Card No.: 18853
Expiration Date: 12/31/2012
County Located: Newton
Newton County Health Unit
506 West Court Street
Jasper, AR 72641
Phone No.: (870) 446-2286
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4032 Cert. Card No.: 18752
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4032(B) Cert. Card No.: 18870
Expiration Date: 12/31/2012
County Located: Ouachita

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
Doctor's Home Care
726 California Avenue
Camden, AR 71701
Phone No.: (870) 836-1301
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4417 Cert. Card No.: 18753
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care, Extended Care & Personal Care Services
License No.: AR4417(B) Cert. Card No.: 18901
Expiration Date: 12/31/2012
County Located: Ouachita
Ouachita County Health Unit
740 California Avenue, SW
Camden, AR 71701
Phone No.: (870) 836-7395
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4010 Cert. Card No.: 18754
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4010(B) Cert. Card No.: 18854
Expiration Date: 12/31/2012
County Located: Ouachita
Southwest Arkansas Development Council, Inc. - Ouachita County
120 East Washington Street
Camden, AR 71701
Phone No.: (870) 836-5906
License Type: Class B Home Health Agency Providing Personal Care Services
License No.: AR4691 Cert. Card No.: 18755
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Perry
Perry County Health Unit
1039 North Fouche Avenue
Perryville, AR 72126
Phone No.: (501) 889-5156
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4011 Cert. Card No.: 18756
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
License No.: AR4011(B) Cert. Card No.: 18855
Expiration Date: 12/31/2012
County Located: Phillips
East Arkansas Area Agency on Aging, Inc. - Phillips County
617 Walnut Street
Helena, AR 72342
Phone No.: (870) 338-7136
License Type: Class B Home Health Agency Providing Personal Care Services
License No.: AR3437 Cert. Card No.: 18757
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Phillips
Phillips County Health Unit
Shirley Hicks Drive - Highway 49 Bypass
West Helena, AR 72390
Phone No.: (870) 572-9028
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4012 Cert. Card No.: 18758
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4012(B) Cert. Card No.: 18856
Expiration Date: 12/31/2012
County Located: Phillips
Regional Home Care, Helena
119 Hickory Hill
Helena, AR 72342
Phone No.: (870) 816-3500
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4530 Cert. Card No.: 18759
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Pike
Pike County Health Unit
15 Caddo Drive
Murfreesboro, AR 71958
Phone No.: (870) 285-3155
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
License No.: AR4013 Cert. Card No.: 18760
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4013(B) Cert. Card No.: 18857
Expiration Date: 12/31/2012
County Located: Poinsett
Crittenden Regional Hospital - Home Health - Marked Tree
107 Nathan
Marked Tree, AR 72365
Phone No.: (870) 358-4018
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Extended
Care Services
License No.: AR4628 Cert. Card No.: 18761
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Poinsett
East Arkansas Area Agency on Aging, Inc. - Poinsett County
351 Campbell Street
Trumann, AR 72472
Phone No.: (870) 483-2532
License Type: Class B Home Health Agency Providing Personal Care Services
License No.: AR3327 Cert. Card No.: 18762
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Poinsett
Poinsett County Health Unit
119 North Main
Harrisburg, AR 72432
Phone No.: (870) 578-2359
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4014 Cert. Card No.: 18763
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4014(B) Cert. Card No.: 18858
Expiration Date: 12/31/2012
County Located: Polk
Polk County Health Unit

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
702 Hornbeck
Mena, AR 71953
Phone No.: (479) 394-3433
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4015 Cert. Card No.: 18764
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4015(B) Cert. Card No.: 18859
Expiration Date: 12/31/2012
County Located: Polk
Visiting Nurses Agency of Western Arkansas, Inc.
600 Seventh Street
Mena, AR 71953
Phone No.: (479) 394-5458
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Extended
Care Services
License No.: AR4600 Cert. Card No.: 18765
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care, Extended Care & Personal Care Services
License No.: AR4600(B) Cert. Card No.: 18913
Expiration Date: 12/31/2012
County Located: Polk
West Arkansas HomeCare
1201 South Mena Street
Mena, AR 71953-4280
Phone No.: (479) 394-1812
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Personal
Care Services
License No.: AR4683 Cert. Card No.: 18766
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Pope
Area Agency on Aging of West Central Arkansas
1310 West Main, Suite 100
Russellville, AR 72801
Phone No.: (501) 967-9300
License Type: Class B Home Health Agency Providing Personal Care Services
License No.: AR4173 Cert. Card No.: 18767
Derivative B License Type: NA

License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
County Located: Pope
Care IV Home Health
1008 West Main Street
Russellville, AR 72801
Phone No.: (479) 964-0072
License Type: Class A Home Health Agency Providing Intermittent Skilled Care, Extended Care
& Personal Care Services
License No.: AR4699 Cert. Card No.: 18768
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care, Extended Care & Personal Care Services
License No.: AR4699(B) Cert. Card No.: 18921
Expiration Date: 12/31/2012
County Located: Pope
Pope County Health Unit
1509 East Main, Suite 6
Russellville, AR 72801
Phone No.: (479) 890-4834
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4381 Cert. Card No.: 18769
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4381(B) Cert. Card No.: 18893
Expiration Date: 12/31/2012
County Located: Pope
St. Mary's Regional Medical Center Home Health
1808 West Main Street
Russellville, AR 72801
Phone No.: (479) 968-4544
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Personal
Care Services
License No.: AR4550 Cert. Card No.: 18770
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Prairie
Prairie County Health Unit
204 Main Street

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
Des Arc, AR 72040-0249
Phone No.: (870) 256-3065
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4524 Cert. Card No.: 18771
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4524(B) Cert. Card No.: 18905
Expiration Date: 12/31/2012
County Located: Pulaski
Arkansas Department of Health, Section of In-Home Services
5800 West Tenth, Suite 300
Little Rock, AR 72204
Phone No.: (501) 661-2614
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR3971 Cert. Card No.: 18772
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR3971(B) Cert. Card No.: 18833
Expiration Date: 12/31/2012
County Located: Pulaski
Baptist Health Home Health - Little Rock
11900 Colonel Glenn, Suite 2000
Little Rock, AR 72210
Phone No.: (501) 202-7480
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Personal
Care Services
License No.: AR4202 Cert. Card No.: 18773
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Pulaski
Care IV Home Health
1023 Rushing Circle
Little Rock, AR 72204
Phone No.: (501) 686-2400
License Type: Class A Home Health Agency Providing Intermittent Skilled Care, Extended Care
& Personal Care Services
License No.: AR4779 Cert. Card No.: 18485
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care, Extended Care & Personal Care Services

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
License No.: AR4779(B) Cert. Card No.: 18486
Expiration Date: 12/31/2012
County Located: Pulaski
CareLink
706 West Fourth Street
North Little Rock, AR 72119
Phone No.: (501) 372-5300
License Type: Class B Home Health Agency Providing Personal Care Services
License No.: AR3295 Cert. Card No.: 18775
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Pulaski
CareNetwork of Little Rock
11524 North Rodney Parham Road, Suite 1
Little Rock, AR 72212
Phone No.: (501) 223-3333
License Type: Class A Home Health Agency Providing Intermittent Skilled Care, Extended Care
& Personal Care Services
License No.: AR4768 Cert. Card No.: 18473
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Pulaski
Gentiva Health Services
204 Executive Court, Suite 100
Little Rock, AR 72205
Phone No.: (501) 223-8310
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Extended
Care* Services
License No.: AR4104 Cert. Card No.: 18777
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care, Extended Care* & Personal Care Services
License No.: AR4104(B) Cert. Card No.: 18882
Expiration Date: 12/31/2012
County Located: Pulaski
Intrepid USA Healthcare Services
300 South Rodney Parham, Suite 14
Little Rock, AR 72205-4774

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
Phone No.: (501) 227-0689
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4566 Cert. Card No.: 18778
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Pulaski
North Metro Medical Center Home Health Agency
1400 Braden Street
Jacksonville, AR 72076
Phone No.: (501) 985-7000
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4783 Cert. Card No.: 18490
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Pulaski
Pulaski County Health Unit
3600 Cantrell, Suite 203
Little Rock, AR 72202
Phone No.: (501) 280-3234
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4493 Cert. Card No.: 18780
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4493(B) Cert. Card No.: 18903
Expiration Date: 12/31/2012
County Located: Pulaski
St. Vincent HOMECARE
Two St. Vincent Circle
Little Rock, AR 72205-5323
Phone No.: (501) 664-2313
License Type: Class B Home Health Agency Providing Intermittent Skilled Care, Extended Care
& Personal Care Services
License No.: AR4769 Cert. Card No.: 18474
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Pulaski

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
Visiting Nurse Association of Arkansas
Two St. Vincent Circle
Little Rock, AR 72205-5423
Phone No.: (501) 664-4933
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4771 Cert. Card No.: 18477
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Randolph
Five Rivers Medical Center Home Health
304 West Marr Street
Pocahontas, AR 72455-3442
Phone No.: (870) 892-6070
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Personal
Care Services
License No.: AR4742 Cert. Card No.: 18783
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Randolph
Randolph County Health Unit
1907 Old County Road
Pocahontas, AR 72455
Phone No.: (870) 892-8046
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4588 Cert. Card No.: 18784
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4588(B) Cert. Card No.: 18907
Expiration Date: 12/31/2012
County Located: Saline
Home Health & Hospice Services of Saline Memorial Hospital
1 Medical Park Drive
Benton, AR 72015
Phone No.: (501) 776-6250
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR3926 Cert. Card No.: 18785
Derivative B License Type: Derivative B Home Health Agency Providing Personal Care Services
License No.: AR3926(B) Cert. Card No.: 18832

Expiration Date: 12/31/2012
Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
County Located: Saline
Saline County Health Unit
1612 Edison Avenue
Benton, AR 72015
Phone No.: (501) 776-1606
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4020 Cert. Card No.: 18786
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4020(B) Cert. Card No.: 18861
Expiration Date: 12/31/2012
County Located: Scott
Scott County Health Unit
73 Highway 71 Bypass
Waldron, AR 72958
Phone No.: (479) 637-4020
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4605 Cert. Card No.: 18787
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4605(B) Cert. Card No.: 18914
Expiration Date: 12/31/2012
County Located: Scott
Visiting Nurses Agency of Western Arkansas, Inc.
1579 Clyde Hawkins Drive
Waldron, AR 72958
Phone No.: (479) 637-4795
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Extended
Care Services
License No.: AR4595 Cert. Card No.: 18788
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care, Extended Care & Personal Care Services
License No.: AR4595(B) Cert. Card No.: 18911
Expiration Date: 12/31/2012
County Located: Searcy
Searcy County Health Unit
742 Airport Road
Marshall, AR 72650

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
Phone No.: (870) 448-5060
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4414 Cert. Card No.: 18789
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4414(B) Cert. Card No.: 18899
Expiration Date: 12/31/2012
County Located: Sebastian
Advantage Home Health
1001 Towson Avenue
Fort Smith, AR 72901
Phone No.: (479) 441-5850
License Type: Class B Home Health Agency Providing Intermittent Skilled Care, Extended Care
& Personal Care Services
License No.: AR4617 Cert. Card No.: 18790
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Sebastian
CareNetwork of Ft. Smith
4019 Massard Road
Fort Smith, AR 72903
Phone No.: (479) 494-7273
License Type: Class A Home Health Agency Providing Intermittent Skilled Care, Extended Care
& Personal Care Services
License No.: AR4643 Cert. Card No.: 18791
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Sebastian
Gentiva Health Services
3321 South 74th Street, Suite B
Fort Smith, AR 72903
Phone No.: (479) 452-0424
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Extended
Care* Services
License No.: AR4305 Cert. Card No.: 18792
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care, Extended Care* & Personal Care Services
License No.: AR4305(B) Cert. Card No.: 18890

Expiration Date: 12/31/2012
Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
County Located: Sebastian
Mercy Home Care
7301B Rogers Avenue
Fort Smith, AR 72903
Phone No.: (479) 314-5511
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Extended
Care Services
License No.: AR4171 Cert. Card No.: 18793
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Sebastian
Sparks Regional Medical Center Home Health
1311 South I Street
Fort Smith, AR 72901-4915
Phone No.: (479) 441-5850
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4616 Cert. Card No.: 18794
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Sebastian
Visiting Nurses Agency of Western Arkansas, Inc.
524 Garrison Avenue
Fort Smith, AR 72901
Phone No.: (479) 783-5550
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Extended
Care Services
License No.: AR4593 Cert. Card No.: 18795
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care, Extended Care & Personal Care Services
License No.: AR4593(B) Cert. Card No.: 18909
Expiration Date: 12/31/2012
County Located: Sebastian
Visiting Nurses Agency of Western Arkansas, Inc.
42 Town Square
Greenwood, AR 72936
Phone No.: (479) 996-7040

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
License Type: Class B Home Health Agency Providing Personal Care Services
License No.: AR4598 Cert. Card No.: 18796
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Sevier
Amedisys Home Health
307 West Stillwell Avenue
DeQueen, AR 71832-2860
Phone No.: (870) 642-4214
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Personal
Care Services
License No.: AR4746 Cert. Card No.: 18797
Derivative B License Type: Derivative B Home Health Agency Providing Intermttent Skilled
Care & Personal Care Services
License No.: AR4746(B) Cert. Card No.: 18929
Expiration Date: 12/31/2012
County Located: Sevier
DeQueen Medical Center Home Health
1316 West Collin Raye Drive, Suite D
DeQueen, AR 71832-2108
Phone No.: (870) 584-0277
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4695 Cert. Card No.: 18798
Derivative B License Type: NA
License No.: Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Sevier
Sevier County Health Unit
304 North Fourth Street
DeQueen, AR 71832
Phone No.: (870) 642-2535
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4035 Cert. Card No.: 18799
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4035(B) Cert. Card No.: 18872
Expiration Date: 12/31/2012
County Located: Sevier

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
Southwest Arkansas Development Council, Inc. - Sevier County
605 East Haes
DeQueen, AR 71832
Phone No.: (870) 584-7100
License Type: Class B Home Health Agency Providing Personal Care Services
License No.: AR3315 Cert. Card No.: 18800
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Sharp
Community Home Health Care of Arkansas, Inc.
2852C Highway 62-412
Highland, AR 72542
Phone No.: (870) 856-2671
License Type: Class A Home Health Agency Providing Intermittent Skilled Care, Extended Care
& Personal Care Services
License No.: AR4373 Cert. Card No.: 18801
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Sharp
Sharp County Health Unit
724 Ash Flat Drive
Ash Flat, AR 72513
Phone No.: (870) 994-2816
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4383 Cert. Card No.: 18802
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4383(B) Cert. Card No.: 18894
Expiration Date: 12/31/2012
County Located: Sharp
White River Area Agency on Aging, Inc. - Ash Flat
75 D Remington Plaza
Ash Flat, AR 72513
Phone No.: (877) 855-2206
License Type: Class B Home Health Agency Providing Personal Care Services
License No.: AR3895 Cert. Card No.: 18803
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA

Expiration Date: 12/31/2012
Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
County Located: St. Francis
East Arkansas Area Agency on Aging, Inc. - St. Francis County
602 East Cross
Forrest City, AR 72336
Phone No.: (870) 633-2248
License Type: Class B Home Health Agency Providing Personal Care Services
License No.: AR3326 Cert. Card No.: 18804
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: St. Francis
Forrest City Home Medical Equipment, LLC
101 North Rosser
Forrest City, AR 72335
Phone No.: (870) 633-5176
License Type: Class B Home Health Agency Providing Intermittent Skilled Care, Extended Care
& Personal Care Services
License No.: AR4482 Cert. Card No.: 18805
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: St. Francis
Northeast Arkansas HomeCare
1712 Lindauer Road
Forrest City, AR 72335
Phone No.: (870) 261-0188
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4442 Cert. Card No.: 18806
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: St. Francis
St. Francis County Health Unit
413 North Division
Forrest City, AR 72335
Phone No.: (870) 633-1340
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4019 Cert. Card No.: 18807

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4019(B) Cert. Card No.: 18860
Expiration Date: 12/31/2012
County Located: Stone
Amedisys Home Health of Mountain View
609 Sylamore Avenue
Mountain View, AR 72560-2710
Phone No.: (870) 269-2993
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4629 Cert. Card No.: 18808
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Stone
Stone County Health Unit
204 Whitfield Street
Mountain View, AR 72560
Phone No.: (870) 269-2598
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4031 Cert. Card No.: 18809
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4031(B) Cert. Card No.: 18869
Expiration Date: 12/31/2012
County Located: Stone
White River Area Agency on Aging, Inc.
606 Sylamore Avenue
Mountain View, AR 72560
Phone No.: (877) 482-2332
License Type: Class B Home Health Agency Providing Personal Care Services
License No.: AR4120 Cert. Card No.: 18810
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Union
South Arkansas Home Health
431 West Oak
El Dorado, AR 71730-4566

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
Phone No.: (870) 862-2631
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Personal
Care Services
License No.: AR4686 Cert. Card No.: 18811
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Union
Southwest Arkansas Development Council, Inc. - Union County
518 West Faulkner Street
El Dorado, AR 71730
Phone No.: (870) 862-2859
License Type: Class B Home Health Agency Providing Personal Care Services
License No.: AR3316 Cert. Card No.: 18812
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Union
Union County Health Unit
301 American Road
El Dorado, AR 71730
Phone No.: (870) 863-3351
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4023 Cert. Card No.: 18813
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4023(B) Cert. Card No.: 18862
Expiration Date: 12/31/2012
County Located: Van Buren
Ozark Health Home Care
247 Quality Drive
Clinton, AR 72031
Phone No.: (501) 745-7004
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Personal
Care Services
License No.: AR4323 Cert. Card No.: 18814
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
County Located: Van Buren
Van Buren County Health Unit
526 Quality Drive
Clinton, AR 72031
Phone No.: (501) 745-2432
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4024 Cert. Card No.: 18815
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4024(B) Cert. Card No.: 18863
Expiration Date: 12/31/2012
County Located: Van Buren
White River Area Agency on Aging, Inc.
258 Joe Bowling Road, Apt. 8
Clinton, AR 72031
Phone No.: (877) 482-2354
License Type: Class B Home Health Agency Providing Personal Care Services
License No.: AR4701 Cert. Card No.: 18816
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Washington
Alliance Home Health of Washington County
540 East Appleby Road, Suite 102
Fayetteville, AR 72703
Phone No.: (479) 442-6363
License Type: Class A Home Health Agency Providing Intermittent Skilled Care, Extended Care
& Personal Care Services
License No.: AR4591 Cert. Card No.: 18817
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Washington
Area Agency on Aging of Northwest Arkansas, Inc.
2325 Green Acres Road
Fayetteville, AR 72703
Phone No.: (479) 442-5194
License Type: Class B Home Health Agency Providing Personal Care Services
License No.: AR4124 Cert. Card No.: 18818
Derivative B License Type: NA

License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
County Located: Washington
Care IV Home Health Services
3801 Great House Springs Road, Suite 1
Johnson, AR 72741
Phone No.: (479) 750-1155
License Type: Class B Home Health Agency Providing Intermittent Skilled Care, Extended Care
& Personal Care Services
License No.: AR4698 Cert. Card No.: 18819
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Washington
Northwest Arkansas Home Health
2921 Old Missouri Road, Suite 1
Springdale, AR 72764
Phone No.: (479) 751-1601
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4626 Cert. Card No.: 18820
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Washington
Washington Regional Medical Center Home Health
88 Colt Square
Fayetteville, AR 72703
Phone No.: (479) 463-1840
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4138 Cert. Card No.: 18821
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: White
Amedisys Home Health of Searcy
2930 East Moore Avenue, Suite A
Searcy, AR 72143-4831
Phone No.: (501) 268-2292
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
License No.: AR4468 Cert. Card No.: 18822
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: White
White County Health Unit
112 Brantly Road
Searcy, AR 72143
Phone No.: (501) 268-6304
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4025 Cert. Card No.: 18823
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4025(B) Cert. Card No.: 18864
Expiration Date: 12/31/2012
County Located: White
White County Medical Center - South Home Health
3109 East Moore Avenue
Searcy, AR 72143
Phone No.: (501) 380-4702
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4330 Cert. Card No.: 18824
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: White
White River Area Agency on Aging, Inc.
309 East Race Street
Searcy, AR 72143
Phone No.: (877) 482-2334
License Type: Class B Home Health Agency Providing Personal Care Services
License No.: AR4773 Cert. Card No.: 18479
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Woodruff
Intrepid USA Healthcare Services
109 Ninth Street, Building 1
McCrory, AR 72101-0365

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
Phone No.: (870) 731-5441
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4685 Cert. Card No.: 18826
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Woodruff
White River Area Agency on Aging, Inc.
105 East 2nd Street
McCrory, AR 72101
Phone No.: (877) 482-2353
License Type: Class B Home Health Agency Providing Personal Care Services
License No.: AR4318 Cert. Card No.: 18827
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Woodruff
Woodruff County Health Unit
623 North Ninth Street
Augusta, AR 72006
Phone No.: (870) 347-5915
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4026 Cert. Card No.: 18828
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Service
License No.: AR4026(B) Cert. Card No.: 18865
Expiration Date: 12/31/2012
County Located: Yell
John Ed Chambers Memorial Hospital, Inc. Home Health Agency
Highway 10 at Detroit Street
Danville, AR 72833
Phone No.: (479) 495-2241
License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Personal
Care Services
License No.: AR3644 Cert. Card No.: 18829
Derivative B License Type: NA
License No.: NA Cert. Card No.: NA
Expiration Date: 12/31/2012
County Located: Yell

Last Update: 06/14/12
HOME HEALTH AGENCIES
PROVIDER LIST & LICENSE VERIFICATION
Yell County Health Unit Danville
1309 East Eighth Street
Danville, AR 72833
Phone No.: (479) 495-7615
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4210 Cert. Card No.: 18830
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4210(B) Cert. Card No.: 18887
Expiration Date: 12/31/2012
County Located: Yell
Yell County Health Unit Dardanelle
719 North Fifth
Dardanelle, AR 72834
Phone No.: (479) 229-1496
License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services
License No.: AR4027 Cert. Card No.: 18831
Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled
Care & Personal Care Services
License No.: AR4027(B) Cert. Card No.: 18866
Expiration Date: 12/31/2012