Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

1 Source Senior Care

Organization Case Manager/Care Coordinator · NPI 1619501087

1 Source Senior Care is a Case Manager/Care Coordinator in Fayetteville, Arkansas. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
4
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Practice location Address checks out

1820 Shelby Ln Ste A
Fayetteville, AR 72704-5255
Phone: (479) 443-7173
Fax: (479) 443-0183
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4500 Rogers Ave Ste 3, Fort Smith, AR 72903-3155 — (479) 709-9005

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X
Case Manager/Care Coordinator Taxonomy 171M00000X
Case Management Agency Taxonomy 251B00000X
Respite Care Taxonomy 385H00000X

Record details

NPI number1619501087
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cathy Robertson — Owner · (479) 443-7173
NPI enumeratedFebruary 25, 2020
Last updated in NPPESMarch 26, 2024
Certification dateMarch 26, 2024
Mailing address1820 Shelby Ln Ste A, Fayetteville, AR 72704-5255

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