PEACHTREE VILLAGE OF FARMINGTON, LLC (NPI# 1427539600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427539600 |
| Entity Type | Organization |
| Organization Name | PEACHTREE VILLAGE OF FARMINGTON, LLC |
| Practice Address |
55 W Rainsong St Farmington AR 72730-8635 |
| Mailing Address |
24068 E 785 Rd Welling OK 74471-2356 |
| Practice Telephone | 4792673335 |
| Mailing Telephone | 7192003049 |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2018-08-24 |
| Authorized Official Name | JANET LYNN NORDLIE (OPERATING MANAGER) |
| Authorized Official Telephone | 7192003049 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 054 | AR | Nursing & Custodial Care Facilities |
| Street Address |
55 W RAINSONG ST |
| City | FARMINGTON |
| State | AR |
| Zip Code | 72730-8635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073706370 | Exceed Physical Therapy, Inc. | Physical Therapist | 95 S Southwinds Rd, Suite 1, Farmington, AR 72730 | 2007-08-21 |
| 1134288228 | Melanie Nicole Alberty | Physical Therapy Assistant | 91 Neal, Farmington, AR 72730 | 2006-12-06 |
| 1689687329 | Terri Lynn Pinkham | Occupational Therapist | 91 E Neal, Hope for Tomorrow Pediatric Foundation, Farmington, AR 72730 | 2006-08-14 |
| 1497768139 | Pamela K Petray | Speech-Language Pathologist | 91 Neal St, Hope for Tomorrow, Farmington, AR 72730 | 2006-08-14 |
| 1790202596 | Chelsea Kaitlyn Coffelt | Occupational Therapist | 4 N Double Springs Rd, Farmington, AR 72730 | 2017-08-23 |
| 1083151104 | Zoe Loretta Allgood Mcgee | Speech-Language Pathologist | 4 N Double Springs Rd, Farmington, AR 72730 | 2017-01-26 |
| 1467869248 | Bridget Starnes | Occupational Therapist | 120 Southwinds Rd Ste 2, Farmington, AR 72730 | 2014-07-14 |
| 1669694139 | Nancy Marie Whitten | Speech-Language Pathologist | 91 Neal, Hope for Tomorrow, Farmington, AR 72730 | 2007-05-03 |
| 1538292305 | Robert Lee Brewer | Dentist | 19 West Main St, Farmington, AR 72730 | 2007-03-13 |
| 1295835122 | Rickie Lynn Porter | Pharmacist | 197 E Main St, Farmington, AR 72730 | 2006-09-22 |
| Find all providers in zip 72730 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235628934 | Woodlands Senior Living of Farmington, LLC | Assisted Living Facility | 175 Knowlton Corner Rd, Farmington, ME 04938-6200 | 2018-05-08 |
| 1619238227 | Americare At Maplebrook Assisted Living, LLC | Assisted Living Facility | 520 Maple Valley Drive, Farmington, MO 63640 | 2012-05-31 |
| 1194050195 | New Communities, Inc. | Assisted Living Facility | 136 Rosewood Drive, Farmington, ME 04938 | 2009-10-08 |
| 1790932648 | Arden Courts of Farmington Ct LLC | Assisted Living Facility | 45 South Rd, Farmington, CT 06032-2022 | 2008-08-22 |
| 1356539696 | Harris Care Centers, Inc. | Assisted Living Facility | 208 W Columbia St, Farmington, MO 63640-1705 | 2007-10-11 |
| 1447448782 | Harris Care Centers, Inc | Assisted Living Facility | 508 N Washington St, Farmington, MO 63640-1756 | 2007-10-11 |
| 1356538458 | Harris Care Centers, Inc | Assisted Living Facility | 401 S Henry St, Farmington, MO 63640-1823 | 2007-10-02 |
| 1902008766 | Brookside Manor | Assisted Living Facility | 2434 Highway H, Farmington, MO 63640-7033 | 2007-06-04 |
| 1639234578 | Country Care Lc | Assisted Living Facility | 513 S 950 W, Farmington, UT 84025-4723 | 2006-12-22 |
| 1962564815 | Country Care LLC | Assisted Living Facility | 533 S 950 W, Farmington, UT 84025-4723 | 2006-12-15 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 72730 |
Please comment or provide details below to improve the information on PEACHTREE VILLAGE OF FARMINGTON, LLC.
| 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.