| Organization Name: | CONVACARE HEALTH SYSTEMS, LLC |
| NPI Number: | 1831157650 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOEY MARTIN WIGGGINS (OWNER) |
| Mailing Address: | 2908 Hawkins Dr Searcy |
| State: | AR US |
| Postal Code: | 721434802 |
| Phone Number: | 5013053153 |
| Fax Number: | 5012793796 |
| NPI Enumeration Date: | 05/02/2006 |
| NPI Last Update Date: | 03/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 332BP3500X |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |