Clarksville Health & Rehab,LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CLARKSVILLE HEALTH & REHAB,LLC

Practice address

400 Oak CT
Clarksville, AR 72830-3778

Phone

(479) 636-5497

Fax

(479) 621-9095

NPI assigned

Aug 29, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Norsworthy

Title

C.O.O.

Phone

(479) 636-5497

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233878400000",
    "number": "1003064254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 S 24TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581102",
            "telephone_number": "479-636-5497",
            "fax_number": "479-621-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 OAK CT",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728303778",
            "telephone_number": "479-636-5497",
            "fax_number": "479-621-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSVILLE HEALTH & REHAB,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-29",
        "last_updated": "2009-02-06",
        "status": "A",
        "authorized_official_last_name": "NORSWORTHY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "C.O.O.",
        "authorized_official_telephone_number": "479-636-5497"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Clarady
• Erin Elizabeth Ann Clark, LAC
• Clarksville Community Health & Rehabilitation LLC
• Clarksville Dentistry, Inc.
• Clarksville Family Pharmacy Inc
• Clarksville Medical Group, P.a.
• Clarksville Medical Group, P.a.
• Clarksville Medical Group, P.a.
• Clarksville Nursing and Rehab, LLC
• Clarksville Retirement Center

• Skilled Nursing Facility in Clarksville, AR
• Providers in Clarksville, AR by specialty
• Skilled Nursing Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.