MEDICALODGES, INC. (NPI# 1336228394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 427 | 05 |
Other Name | Type Code |
---|---|
Gran Villas Texarkana | Doing Business As Name - Organization |
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 |
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 |
Street Address |
1625 E 42ND ST |
City | TEXARKANA |
State | AR |
Zip Code | 71854-1654 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346571163 | Gval, LLC | Custodial Care Facility | 1625 E 42nd St, Texarkana, AR 71854-1654 | 2010-01-18 |
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 |
Find all providers in zip 71854 |
Taxonomy Code | 261QA0600X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Day Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639162837 | Golden Years Adult Daycare Center, Inc. | Clinic/Center | 408 Hazel St, Texarkana, AR 71854-5215 | 2005-08-24 |
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 |
Find all providers with the same taxonomy |
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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.