Organization Active NPI

Community Compassion West Memphis

  • Skilled Nursing Facility
  • West Memphis, AR
National Provider Identifier
1003398843
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
COMMUNITY COMPASSION WEST MEMPHIS
Practice address
800 W Broadway St
West Memphis, AR 72301-2912
Phone
(501) 690-1335
NPI assigned
Aug 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Authorized official

Name
Mr. Randall A. Wyatt
Title
President
Phone
(501) 690-1335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X AR Primary

Addresses

Primary practice location

800 W Broadway St
West Memphis, AR 72301-2912

Mailing address

800 W Broadway St
West Memphis, AR 72301-2912
Phone (501) 690-1335

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535500800000",
    "number": "1003398843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W BROADWAY ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723012912",
            "telephone_number": "501-690-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W BROADWAY ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723012912",
            "telephone_number": "501-690-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY COMPASSION WEST MEMPHIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-690-1335",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Memphis, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.