OrganizationActive
Providential Home Care of Nwa LLC
NPI 1104416247 · In Home Supportive Care Agency · Lowell, AR
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.