MULBERRY RETIREMENT CENTER (NPI# 1942417795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942417795 |
| Entity Type | Organization |
| Organization Name | MULBERRY RETIREMENT CENTER |
| Practice Address |
949 N Main St Mulberry AR 72947-8538 |
| 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 |
246 | AR | Nursing & Custodial Care Facilities |
| Street Address |
949 N MAIN ST |
| City | MULBERRY |
| State | AR |
| Zip Code | 72947-8538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093349730 | Western Arkansas Counseling and Guidance Center,inc.-rcf Mulberry | Community/Behavioral Health | 949 N Main St, Mulberry, AR 72947-8538 | 2020-03-02 |
| 1861048332 | Melinda Yowell | Case Manager/Care Coordinator | 949 N Main St, Mulberry, AR 72947-8538 | 2019-08-12 |
| 1720546062 | Cassandra Jeffries | Case Manager/Care Coordinator | 949 N Main St, Mulberry, AR 72947-8538 | 2019-03-06 |
| 1609387224 | Sheila Nicole Gilbert | Case Manager/Care Coordinator | 949 N Main St, Mulberry, AR 72947-8538 | 2017-10-23 |
| 1174045686 | Joshua Harris | Case Manager/Care Coordinator | 949 N Main St, Mulberry, AR 72947-8538 | 2017-07-17 |
| 1396273850 | Jerod Johnson | Counselor | 949 N Main St, Mulberry, AR 72947-8538 | 2017-05-30 |
| 1447793518 | April Cristee | Case Manager/Care Coordinator | 949 N Main St, Mulberry, AR 72947-8538 | 2016-11-22 |
| 1396144812 | Andrew Scott | Case Manager/Care Coordinator | 949 N Main St, Mulberry, AR 72947-8538 | 2014-08-20 |
| 1427457944 | Vekensha Tengbeh | Case Manager/Care Coordinator | 949 N Main St, Mulberry, AR 72947-8538 | 2014-08-20 |
| 1942616800 | Whitley Mccormic | Case Manager/Care Coordinator | 949 N Main St, Mulberry, AR 72947-8538 | 2014-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023053352 | Catherine Lyle Mustain | Physician Assistant | 421 N. Main Street, Mulberry, AR 72947 | 2006-06-19 |
| 1275766909 | River Valley Primary Care Services, Inc. | Clinic/Center | 421 N. Main Street, Mulberry, AR 72947 | 2009-08-28 |
| 1851501217 | Leslie Renee Entrekin | Specialist | 6301 Moon Rd, Mulberry, AR 72947-8359 | 2007-05-23 |
| 1497080030 | Mulberry Pleasant View Bi-county School District | Local Education Agency (LEA) | 1319 N Main St, Mulberry, AR 72947-8542 | 2009-10-15 |
| 1437168424 | Arkansas Rural Kare, Inc. | Clinic/Center | 437 N Main St, Mulberry, AR 72947-8574 | 2006-08-07 |
| 1679563712 | Mulberry Medi-quik Pharmacy,inc. | Pharmacy | 442 N Main St, Mulberry, AR 72947-8574 | 2005-10-27 |
| 1881773216 | Kelli L. Rippy | Family Medicine | 421 North Main, Mulberry, AR 72947-8574 | 2006-11-05 |
| 1326595596 | Sydnie Wilkins | Speech-Language Pathologist | 2609 Mulberry Highway 64 W, Mulberry, AR 72947-8948 | 2016-09-06 |
| 1558763672 | Wal-mart Stores Inc | Pharmacy | 3500 Mulberry Highway 64 W, Mulberry, AR 72947-8952 | 2014-09-19 |
| 1497299044 | Mulberry-pleasant View Bi-county School District | Local Education Agency (LEA) | 424 Alma Ave, Mulberry, AR 72947-8992 | 2016-12-15 |
| Find all providers in zip 72947 | ||||
| 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 |
| 1336356179 | Baxter Retirement Village | Custodial Care Facility | 550 W 6th St, Mountain Home, AR 72653-3420 | 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 | ||||
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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.