OZARK MOUNTAIN ALCOHOL RESIDENTIAL TREATMENT, INC,.


Address: 116 Snowball Dr, Gassville, AR 72635
Phone: 8704356200

OZARK MOUNTAIN ALCOHOL RESIDENTIAL TREATMENT, INC,. (NPI# 1750670303) 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) 1750670303
Entity Type Organization
Organization Name OZARK MOUNTAIN ALCOHOL RESIDENTIAL TREATMENT, INC,.
Other Organization Name OMART, INC.
Practice Address 116 Snowball Dr
Gassville
AR 72635
Mailing Address Po Box 188
Gassville
AR 72635-0188
Practice Telephone 8704356200
Mailing Telephone 8704356200
Enumeration Date 2011-04-05
Last Update Date 2011-04-05
Authorized Official Name MRS. DARLENE E PRINE (EXECUTIVE DIRECTOR)
Authorized Official Telephone 8704356200
Authorized Official Credential CADC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility 00059 AR Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AR STATE OF ARKANSAS OFFICE OF ALCOHOL AND DRUG ABUSE PREVENTION D14714 01

Other Provider/Organization Names

Other Name Type Code
OMART, Inc. Other Name - Individual/Organization

Office Location

Street Address 116 SNOWBALL DR
City GASSVILLE
State AR
Zip Code 72635

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285183087 Almost Family Personal Care, LLC Case Management 6289 Hwy 62w, Gassville, AR 72635 2016-09-22
1669703187 Ashley Nursing Center Inc Skilled Nursing Facility 114 Chester Ashley Dr, Crossett, AR 72635 2010-01-22
1538349535 Amanda Leigh Keller Case Manager/Care Coordinator 7345 Highway 62 West, Gassville, AR 72635 2007-11-07
1124028493 Charles G Crosslin Optometrist 7345 Highway 62 W, Gassville, AR 72635 2005-07-28
1992237093 Lisa Otto Case Manager/Care Coordinator 23 Marler Ln, Gassville, AR 72635-8127 2017-03-29
1083152797 Almost Family Personal Care, LLC Home Health 6289 Highway 62 W, Gassville, AR 72635-8207 2017-02-02
1992793194 Gassville Care Center Inc Skilled Nursing Facility 203 Cotter Rd, Gassville, AR 72635-8529 2005-10-11
1528484177 Gvnc, Inc. Skilled Nursing Facility 203 Cotter Rd, Gassville, AR 72635-8529 2014-03-06
1245441096 Kathy Jo Gay Physical Therapist 203 Cotter Rd, Gassville Nursing and Rehab Center, Gassville, AR 72635-8529 2007-05-24
1710099700 Ponders Gassville Pharmacy Pharmacy 7337 Highway 62 W, Gassville, AR 72635-8636 2006-08-31
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Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Notes: [7/1/2003: modified title, modified definition]

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NPI Name Taxonomy Address Enumeration
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1295385359 Atlas Healthcare Associates, LLC Substance Abuse Rehabilitation Facility 408 Office Park Dr Ste 2, Bryant, AR 72022-7536 2019-09-19
1609429778 Coatc LLC Substance Abuse Rehabilitation Facility 1807 E Lawson Rd, Little Rock, AR 72210-5012 2019-07-18
1730640558 Teen Challenge Women's Ministries Substance Abuse Rehabilitation Facility 618 S Knoxville Ave, Russellville, AR 72801-6419 2019-03-26
1780114611 Applegate Health Services, Inc Substance Abuse Rehabilitation Facility 403 W Oak St Ste 105, El Dorado, AR 71730-4573 2017-06-13
1518494863 Cscb Rehabilitation Management Group, LLC Substance Abuse Rehabilitation Facility 1 Lile Court, Suite 103, Little Rock, AR 77005 2017-05-17
1013468925 Preferred Family Health Care, Inc Substance Abuse Rehabilitation Facility 9219 Sibley Hall Road, Little Rock, AR 72209-0000 2016-10-17
1174907463 Southwest Arkansas Counseling & Mental Health Center, Inc Substance Abuse Rehabilitation Facility 7000 N Stateline, Texarkana, AR 71854-2536 2015-07-16
1851770564 Better Community Development, Inc Substance Abuse Rehabilitation Facility 3604 W 12th St, Little Rock, AR 72204-2139 2015-05-27
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Competitor

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City GASSVILLE
Zip Code 72635

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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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