OrganizationActive
Providential Home Care of Nwa LLC
NPI 1104416247 · In Home Supportive Care Agency · Lowell, AR
Providential Home Care of Nwa LLC is a In Home Supportive Care Agency organization in Lowell, AR (NPI 1104416247).
Provider details
- NPI number
- 1104416247
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Mark Kersey, Owner(479) 668-4338
Specialties & taxonomies
Agencies
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
113 Parkwood St Ste B
Lowell, AR 72745-8811
Phone: (479) 668-4338
Fax: (888) 247-6285
Street-level locationGet directions
Mailing address
113 Parkwood St Ste B
Lowell, AR 72745-8811
Other names (DBA / former)
- Doing business as
- Providential Home Care
Registry dates
- Enumerated
- 2021-01-22
- Last updated
- 2021-01-22
- Certified
- 2021-01-22
Frequently asked questions
- What is Providential Home Care of Nwa LLC's NPI number?
- Providential Home Care of Nwa LLC's National Provider Identifier (NPI) is 1104416247, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providential Home Care of Nwa LLC?
- Providential Home Care of Nwa LLC is classified in the NPPES registry as In Home Supportive Care Agency (Agencies).
- Where is Providential Home Care of Nwa LLC located?
- Providential Home Care of Nwa LLC's practice location on file with NPPES is 113 Parkwood St Ste B, Lowell, AR 72745-8811.
- What is Providential Home Care of Nwa LLC's phone number?
- The practice phone number listed in the NPPES registry for Providential Home Care of Nwa LLC is (479) 668-4338.
- Who is the authorized official for Providential Home Care of Nwa LLC?
- The authorized official listed on Providential Home Care of Nwa LLC's NPPES record is Mark Kersey, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providential Home Care of Nwa LLC's NPI active?
- Yes — Providential Home Care of Nwa LLC's NPI (1104416247) is active in the NPPES registry as of the last update on 2021-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.