BAXTER RETIREMENT VILLAGE (NPI# 1336356179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336356179 |
| Entity Type | Organization |
| Organization Name | BAXTER RETIREMENT VILLAGE |
| Practice Address |
550 W 6th St Mountain Home AR 72653-3420 |
| Practice Telephone | 4794524949 |
| Practice Fax Number | 4794788580 |
| Mailing Telephone | 4794524949 |
| Mailing Fax Number | 4794788580 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. LINDA SHORT (OWNER) |
| Authorized Official Telephone | 4794524949 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
244 | AR | Nursing & Custodial Care Facilities |
| Street Address |
550 W 6TH ST |
| City | MOUNTAIN HOME |
| State | AR |
| Zip Code | 72653-3420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619513934 | Maranda Hickman | Physical Therapy Assistant | 347 Hwy 62 East College Plaza, Mountain Home, AR 72653 | 2019-11-21 |
| 1659929156 | Gale E Bacan | Technician | 1703 Monroe Ave, Mountain Home, AR 72653 | 2019-08-28 |
| 1891259321 | Kidspiration Pediatric Therapy Services | Clinic/Center | 710 Bradley Dr., Mountain Home, AR 72653 | 2019-01-29 |
| 1093279275 | Piper's Vision Xpress, LLC | Optometrist | 50 Paul Wood Lane, Mountian Home, AR 72653 | 2019-01-22 |
| 1346769155 | Heather Bollinger | Nurse Practitioner | 65 Walmart Drive, C/o Clinic At Walmart, Mountain Home, AR 72653 | 2017-09-12 |
| 1447774989 | Natalie D Ahrent | Physical Medicine & Rehabilitation | 804 Coley Dr, Mountain Home, AR 72653 | 2017-07-26 |
| 1417486028 | Andrew David Hatman | Case Manager/Care Coordinator | 1349 Hampshire Circle, Mountain Home, AR 72653 | 2017-06-07 |
| 1568848315 | Taylor Chiropractic Plc | Health Maintenance Organization | 103 S Main St Ste 5, Mountain Home, AR 72653 | 2015-08-04 |
| 1942606306 | Harps Food Stores, Inc | Pharmacy | 2089 Highway 62 West, Mountain Home, AR 72653 | 2014-11-13 |
| 1972920726 | Lavonne Armstrong | Counselor | 8 Medical Plaza, Mountain Home, AR 72653 | 2014-03-18 |
| Find all providers in zip 72653 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881232536 | Trina Smith | Custodial Care Facility | 107 Summer Pl, Hot Springs, AR 71913-5165 | 2019-12-12 |
| 1306105945 | Legacy Healthcare Management, Inc. | Custodial Care Facility | 4800 W 13th St, Ste #d, Little Rock, AR 72204-1900 | 2012-05-15 |
| 1942417795 | Mulberry Retirement Center | Custodial Care Facility | 949 N Main St, Mulberry, AR 72947-8538 | 2007-05-17 |
| 1578770335 | Harrison Retirement Center | Custodial Care Facility | 520 Harness St, Harrison, AR 72601-8905 | 2007-05-17 |
| 1700093507 | Greenwood Retirement Center | Custodial Care Facility | 1200 W Center St, Greenwood, AR 72936-3716 | 2007-05-17 |
| 1942344288 | Boeckmann and Sons | Custodial Care Facility | 1803 Lindauer Rd, Forrest City, AR 72335-2407 | 2007-02-19 |
| 1366590572 | Harris Southeast Care Home | Custodial Care Facility | 534 S 16th St, West Memphis, AR 72301-5631 | 2007-01-07 |
| 1427139567 | Tippin Surgical Supply | Custodial Care Facility | 502 West Pennington Street, Ola, AR 72853 | 2006-10-17 |
| 1114485471 | Short Mountain Lodge Residential Care | Custodial Care Facility | 2721 W Walnut St, Paris, AR 72855-3642 | 2019-03-06 |
| 1548435563 | Community and Governmental Consultants Inc. | Custodial Care Facility | 100 Ridgeview Rd, Eureka Springs, AR 72632-9358 | 2008-04-30 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN HOME |
| Zip Code | 72653 |
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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.