Dierksen of Texarkana Arkansas LLC
NPI 1104088632 · Community Based Hospice Care Agency · Texarkana, AR
Enrolled with Medicare as Part a Provider - Hospice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dierksen of Texarkana Arkansas LLC is a Community Based Hospice Care Agency organization in Texarkana, AR (NPI 1104088632).
Provider details
- NPI number
- 1104088632
- Entity type
- Organization
- Primary specialty
- Community Based Hospice Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jesse Moore, Chief Administrative Officer(857) 331-6271
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Dierksen Memorial Hospice
- Doing business as
- Dierksen Memorial Hospice
Registry dates
- Enumerated
- 2008-06-26
- Last updated
- 2025-01-29
- Certified
- 2025-01-29
Frequently asked questions
- What is Dierksen of Texarkana Arkansas LLC's NPI number?
- Dierksen of Texarkana Arkansas LLC's National Provider Identifier (NPI) is 1104088632, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dierksen of Texarkana Arkansas LLC?
- Dierksen of Texarkana Arkansas LLC is classified in the NPPES registry as Community Based Hospice Care Agency (Agencies).
- Where is Dierksen of Texarkana Arkansas LLC located?
- Dierksen of Texarkana Arkansas LLC's practice location on file with NPPES is 4613 Parkway Dr Ste 20, Texarkana, AR 71854.
- What is Dierksen of Texarkana Arkansas LLC's phone number?
- The practice phone number listed in the NPPES registry for Dierksen of Texarkana Arkansas LLC is (870) 773-4353.
- Does Dierksen of Texarkana Arkansas LLC accept Medicare?
- Dierksen of Texarkana Arkansas LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dierksen of Texarkana Arkansas LLC?
- The authorized official listed on Dierksen of Texarkana Arkansas LLC's NPPES record is Jesse Moore, Chief Administrative Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dierksen of Texarkana Arkansas LLC's NPI active?
- Yes — Dierksen of Texarkana Arkansas LLC's NPI (1104088632) is active in the NPPES registry as of the last update on 2025-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.