SOUTHRIDGE VILLAGE-CABOT MGNT. CO.


Address: 601 E. Mt. Springs Road, Cabot, AR 72023
Phone: 5012867720

SOUTHRIDGE VILLAGE-CABOT MGNT. CO. (NPI# 1245526813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245526813
Entity Type Organization
Organization Name SOUTHRIDGE VILLAGE-CABOT MGNT. CO.
Practice Address 601 E. Mt. Springs Road
Cabot
AR 72023
Mailing Address 401 Southridge Pkwy
Heber Springs
AR 72543-8853
Practice Telephone 5012867720
Practice Fax Number 5012867721
Mailing Telephone 5013627023
Mailing Fax Number 5013625214
Enumeration Date 2011-06-22
Last Update Date 2011-06-22
Authorized Official Name GRETCHEN E HUMPHREYS (OFFICE MANAGER)
Authorized Official Telephone 5013627023
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility 057 AR Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AR ARKANSAS DEPARTMENT OF HUMAN SERVICES 057 01

Office Location

Street Address 601 E. MT. SPRINGS ROAD
City CABOT
State AR
Zip Code 72023

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003458407 Arthur Latrell Mays Jr. Transportation Broker 18 High Plains Drive, Cabot, AR 72023 2019-10-17
1275182677 Central Arkansas Screening and Medical Services Clinical Nurse Specialist 801 W. Locust St, Cabot, AR 72023 2019-09-09
1154975431 Cabot Ep, Pllc Emergency Medicine 212 Willie Ray Dr., Cabot, AR 72023 2019-07-25
1972070993 Little Rock Hospital 1, LLC General Acute Care Hospital 212 Willie Ray Dr, Cabot, AR 72023 2018-10-29
1437654670 Eldercare of Arkansas V, Inc. Assisted Living Facility 601 E. Mountain Springs Road, Cabot, AR 72023 2018-03-29
1558889220 Justin Kent Physical Therapist 2800 South 2nd Street Ste. B, Cabot, AR 72023 2017-09-01
1518310390 Viki Vinson Registered Nurse 51 Financial Drive, Cabot, AR 72023 2016-07-18
1477934552 Next Generation Physical Therapy Physical Therapist 100 Gateway Drive, Cabot, AR 72023 2015-06-15
1366829020 Amber Barnes Speech-Language Pathologist 16150 Arkansas 5, Cabot, AR 72023 2015-05-01
1184020984 Jodi Hood Speech-Language Pathologist 601 N Lincoln St, Cabot, AR 72023 2014-11-06
Find all providers in zip 72023

Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437654670 Eldercare of Arkansas V, Inc. Assisted Living Facility 601 E. Mountain Springs Road, Cabot, AR 72023 2018-03-29
1467663880 Graham's Foster Home for The Elderly Assisted Living Facility 692 Honeysuckle Ln, Cabot, AR 72023-8276 2007-05-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1518517127 Peachtree Village, LLC Assisted Living Facility 1500 Fresno St, Fort Smith, AR 72901-7023 2019-09-16
1427539600 Peachtree Village of Farmington, LLC Assisted Living Facility 55 W Rainsong St, Farmington, AR 72730-8635 2018-08-24
1972007292 Eldercare of Arkansas IIi, Inc. Assisted Living Facility 1306 S. Donaghey, Conway, AR 72034 2018-03-21
1750897039 Green Acre Easy Lliving Assisted Living Facility 2407 W Oak St, Rogers, AR 72758-3943 2017-12-21
1962912626 Lincolin Co Assisted Living Assisted Living Facility 142 Teva Dr, Star City, AR 71667-4253 2017-10-09
1043743768 Peachtree Village At Holiday Island Assisted Living Facility 5 Park Dr, Holiday Island, AR 72631-9388 2017-04-10
1740645456 Providence PCc of Springdale Assisted Living Facility 2175 Orchard St, Springdale, AR 72764-6357 2015-12-22
1649640236 The Evangelical Lutheran Good Samaritan Society Assisted Living Facility 200 Good Samaritan Dr, Mountain Home, AR 72653-9325 2015-09-25
1427444124 Holiday Island Operations, LLC Assisted Living Facility 89 Hillside Drive, Holiday Island, AR 72631 2015-04-09
1639588585 Benton Senior Living, LLC Assisted Living Facility 1180 Highway 71 S, Mena, AR 71953-3908 2014-08-05
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Competitor

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City CABOT
Zip Code 72023

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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