MEDICALODGES, INC.


Address: 1625 E 42nd St, Texarkana, AR 71854-1654
Phone: 8707720689

MEDICALODGES, INC. (NPI# 1336228394) 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) 1336228394
Entity Type Organization
Organization Name MEDICALODGES, INC.
Other Organization Name GRAN VILLAS TEXARKANA
Practice Address 1625 E 42nd St
Texarkana
AR 71854-1654
Practice Telephone 8707720689
Practice Fax Number 8707721103
Mailing Telephone 8707720689
Mailing Fax Number 8707721103
Enumeration Date 2006-11-02
Last Update Date 2008-06-23
Authorized Official Name MS. CATHY W FISHER (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 6202516700
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251E00000X Home Health 427 AR Agencies
Y 261QA0600X Clinic/Center
Specialization: Adult Day Care
427 AR Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AR 427 05

Other Provider/Organization Names

Other Name Type Code
Gran Villas Texarkana Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1902209703 Medicalodges, Inc. Skilled Nursing Facility 511 N Western Ave, Girard, KS 66743-1152 2014-10-07
1437410651 Medicalodges, Inc. Assisted Living Facility 1004 E Centennial Dr, Pittsburg, KS 66762-6565 2012-06-05
1316017544 Medicalodges, Inc. Home Health 420 W Lyon Dr, Neosho, MO 64850-9194 2006-11-08
1578633715 Medicalodges, Inc. Clinic/Center 411 S Summit St, Arkansas City, KS 67005-2850 2006-11-08
1255417614 Medicalodges, Inc. Skilled Nursing Facility 201 W 8th St, Coffeyville, KS 67337-5807 2006-10-28
1083799613 Medicalodges, Inc. Case Management 821 W 3rd St, Valley Center, KS 67147-2417 2006-10-25
1437233855 Medicalodges, Inc. Skilled Nursing Facility 2 E Ash St, Herington, KS 67449-1662 2006-10-24
1689755522 Medicalodges, Inc. Home Health 400 Fir St, Neodesha, KS 66757-1298 2006-10-18
1568543346 Medicalodges, Inc. Clinic/Center 1607 4th St, Wamego, KS 66547-1915 2006-10-18
1154402147 Medicalodges, Inc. Clinic/Center 1635 Riley St, Atchison, KS 66002-1518 2006-10-18

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities MEDICALODGES, INC. 201 W 8th St, Coffeyville, KS 67337-5807
Oklahoma Business Registrations MEDICALODGES, INC. P O Box 509, Coffeyville, KS 67337

Office Location

Street Address 1625 E 42ND ST
City TEXARKANA
State AR
Zip Code 71854-1654

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346571163 Gval, LLC Custodial Care Facility 1625 E 42nd St, Texarkana, AR 71854-1654 2010-01-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962988253 Holly Renee Snipe Registered Nurse 4700 Sunbury Dr, Texarkana, AR 71854 2018-07-19
1023500634 Carlotta A Powell Counselor 7000 N Stateline Ave, Texarkana, AR 71854 2018-05-31
1326538810 Chad Roldan Occupational Therapy Assistant 6402 Countryside Dr, Texarkana, AR 71854 2018-05-10
1649797481 Alliance Counseling Agency LLC Community/Behavioral Health 819 Beech St, Texarkana, AR 71854 2017-08-23
1366971467 Kimberly Dian Cox Case Manager/Care Coordinator 7000 North Stateline Ave, Texarkana, AR 71854 2017-06-12
1295260040 Seniors for Senior Care Adult Companion 4613 Parkway Dr., Texarkana, AR 71854 2017-04-28
1033650635 Texarkana Eye Associates Optometrist 114 East 49th St, Texarkana, AR 71854 2017-03-15
1881064731 Texarkana Group, P.l.l.c Chiropractor 2100 N. State Line Ave., Texarkana, AR 71854 2015-10-05
1528301819 Megan Guercio Specialist/Technologist 1002 East 35th Street, Texarkana, AR 71854 2013-04-04
1831439116 James Wesley Mcraven Nurse Practitioner 210 N. Stateline, Suite 301, Texarkana, AR 71854 2013-02-22
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Taxonomy Information

Taxonomy Code 261QA0600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Day Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639162837 Golden Years Adult Daycare Center, Inc. Clinic/Center 408 Hazel St, Texarkana, AR 71854-5215 2005-08-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578162863 Kb's Adult Health Day Care Center Clinic/Center 2911 South Market Street, Pine Bluff, AR 71601 2020-10-19
1407489081 Katherine Bolden Clinic/Center 2911 East Market Street, Pine Bluff, AR 71601 2020-02-21
1558910224 Katherine's Little Angels Adult Care Center Clinic/Center 2006 W 27th Ave, Pine Bluff, AR 71603-5182 2019-09-05
1639725187 Jessica Polaris Clinic/Center 7600 S University Ave Ste 10, Little Rock, AR 72209-3733 2019-08-12
1164878930 Unity Adult Care Center Inc Clinic/Center 223 Locust St, Conway, AR 72034-6528 2016-05-10
1811385602 Pa and Associates LLC Clinic/Center 100 Shadow Oaks Dr, Sherwood, AR 72120-6046 2014-12-31
1831384668 Redeem Adult Day Healthcare Clinic/Center 1604 Brentwood Dr, Pine Bluff, AR 71601-6822 2007-09-14
1942404975 Goldencare Adhc, Inc Clinic/Center 1508 B Hwy 62 412, Highland, AR 72542 2007-06-13
1588872469 Amail Chudy Clinic/Center 1723 Schaer St, North Little Rock, AR 72114-3365 2007-05-21
1124675889 A Touch of Hope Senior Services Clinic/Center 7600 S University Ave Ste 10, Little Rock, AR 72209-3733 2019-08-19
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Competitor

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City TEXARKANA
Zip Code 71854

Improve Information

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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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