GENERAL BAPTIST ASSISTED LIVING FACILITY (NPI# 1952637142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952637142 |
Entity Type | Organization |
Organization Name | GENERAL BAPTIST ASSISTED LIVING FACILITY |
Other Organization Name | MAGNOLIA MANOR |
Practice Address |
1200 Gordon Duckworth Dr Piggott AR 72454-1911 |
Practice Telephone | 8705981020 |
Practice Fax Number | 8705982196 |
Mailing Telephone | 8705981020 |
Mailing Fax Number | 8705982196 |
Enumeration Date | 2009-10-23 |
Last Update Date | 2011-05-18 |
Authorized Official Name | MR. SCOTT R COLE (CEO) |
Authorized Official Telephone | 8705981020 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | 043 | AR | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Magnolia Manor | Doing Business As Name - Organization |
Street Address |
1200 GORDON DUCKWORTH DR |
City | PIGGOTT |
State | AR |
Zip Code | 72454-1911 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619519436 | Donna Ring Corporation | Pharmacy | 138 S 2nd, Piggott, AR 72454 | 2019-10-14 |
1346545480 | Brandi Sue Johnson | Case Manager/Care Coordinator | 318 East Poplar, Piggott, AR 72454 | 2011-01-21 |
1881845758 | Kimberley Jo Donner | Nurse Practitioner | 1009 South Garfield, Piggott, AR 72454 | 2008-10-09 |
1679723225 | Charlotte Ann Featherston | Counselor | 318 East Poplar Street, Piggott, AR 72454 | 2008-09-19 |
1174772180 | Matthew Nicholas Yount | Social Worker | 318 E Poplar St, Piggott, AR 72454 | 2008-09-15 |
1437330701 | Freds Stores of Tennessee, Inc. | Durable Medical Equipment & Medical Supplies | 303 East Main St, Piggott, AR 72454 | 2007-11-15 |
1124342530 | Richard Paul Slayton | Case Manager/Care Coordinator | 318 E Poplar St, Piggott, AR 72454 | 2010-03-15 |
1639123425 | Stephen Edward White | Dentist | 416 W Cherry St, Piggott, AR 72454-1533 | 2006-05-19 |
1326059171 | Doctors Health Group Inc | Family Medicine | 425 West Jackson, Piggott, AR 72454-1538 | 2006-08-10 |
1720095599 | Dennis N Blake | Family Medicine | 425 W Jackson St, Piggott, AR 72454-1538 | 2006-08-02 |
Find all providers in zip 72454 |
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 |
---|---|---|---|---|
1700876398 | Murphy Healthcare LLC | Assisted Living Facility | 450 S 9th Ave, Piggott, AR 72454-2501 | 2005-10-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518517127 | Peachtree Village, LLC | Assisted Living Facility | 1500 Fresno St, Fort Smith, AR 72901-7023 | 2019-09-16 |
1427539600 | Peachtree Village of Farmington, LLC | Assisted Living Facility | 55 W Rainsong St, Farmington, AR 72730-8635 | 2018-08-24 |
1437654670 | Eldercare of Arkansas V, Inc. | Assisted Living Facility | 601 E. Mountain Springs Road, Cabot, AR 72023 | 2018-03-29 |
1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
1750897039 | Green Acre Easy Lliving | Assisted Living Facility | 2407 W Oak St, Rogers, AR 72758-3943 | 2017-12-21 |
1962912626 | Lincolin Co Assisted Living | Assisted Living Facility | 142 Teva Dr, Star City, AR 71667-4253 | 2017-10-09 |
1043743768 | Peachtree Village At Holiday Island | Assisted Living Facility | 5 Park Dr, Holiday Island, AR 72631-9388 | 2017-04-10 |
1740645456 | Providence PCc of Springdale | Assisted Living Facility | 2175 Orchard St, Springdale, AR 72764-6357 | 2015-12-22 |
1649640236 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 200 Good Samaritan Dr, Mountain Home, AR 72653-9325 | 2015-09-25 |
1427444124 | Holiday Island Operations, LLC | Assisted Living Facility | 89 Hillside Drive, Holiday Island, AR 72631 | 2015-04-09 |
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.