JONESBORO HUMAN DEVELOPMENT CENTER – NPI #1386770030
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Health Care Provider Taxonomy Code for Residential Treatment Facility, Intellectual and/or Developmental Disabilities

JONESBORO HUMAN DEVELOPMENT CENTER is a residential treatment facility located in JONESBORO, AR. NPPES has assigned the NPI number 1386770030 to JONESBORO HUMAN DEVELOPMENT CENTER on February 26, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “JONESBORO HUMAN DEVELOPMENT CENTER” is a dba name, the actual legal business name for this organization is STATE PF ARKANSAS. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 3 years ago on Aug 16, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JONESBORO HUMAN DEVELOPMENT CENTER below.

NPI Profile for
STATE PF ARKANSAS

NPI Number
1386770030
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
STATE PF ARKANSAS
Doing Business As (dba): JONESBORO HUMAN DEVELOPMENT CENTER
Primary location
4701 COLONY DR
JONESBORO, AR 72404-9317
Phone: (870) 932-4043 Fax: (870) 932-4459
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
THERESIA KEITH
SUPERINTENDENT
Phone: (870) 932-4043
Updated
Identifiers

Identifiers for JONESBORO HUMAN DEVELOPMENT CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidAR109054213
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)		 AR 137

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.