NPI 1104088632 · live from the CMS NPI Registry
Dierksen Of Texarkana Arkansas LLC
Hospice Care, Community Based in Texarkana, AR. National Provider Identifier 1104088632, active.
NPI record
| NPI | 1104088632 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 4613 Parkway Dr Ste 20, Texarkana, AR 71854 |
| Practice phone | 870-773-4353 |
| Mailing address | 500 Faulconer Dr Ste 200, Charlottesville, VA 22903 |
| Enumerated | June 26, 2008 |
| Last updated | September 24, 2026 |
| Authorized official | Jesse Moore, Chief Administrative Officer |
| Other names | Dierksen Hospice |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based primary | 251G00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.