Active NPI
Ouachita Senior Community Development, LP
- Assisted Living Facility
- Mena, AR
National Provider Identifier
1013200732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- OUACHITA SENIOR COMMUNITY DEVELOPMENT, LP
- Practice address
- 1341 S Mena St
Mena, AR 71953-4619 - Phone
- (479) 243-0033
- Fax
- (479) 394-1204
- NPI assigned
- May 27, 2011
- Organization subpart
- Yes
- Parent organization
- OUACHITA SENIORS & RETIREES, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael T Shepard
- Title
- Management Company
- Phone
- (479) 394-2600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
1341 S Mena St
Mena, AR 71953-4619
Mailing address
1341 S Mena St
Mena, AR 71953-4619
Phone (479) 243-0033
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3104A0630X | Other | AR | ASSISTED LIVING FACILITY |
Other names 1
- The Oaks at Mena, LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306454400000",
"number": "1013200732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1341 S MENA ST",
"city": "MENA",
"state": "AR",
"postal_code": "719534619",
"telephone_number": "479-243-0033",
"fax_number": "479-394-1204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1341 S MENA ST",
"city": "MENA",
"state": "AR",
"postal_code": "719534619",
"telephone_number": "479-243-0033",
"fax_number": "479-394-1204"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OUACHITA SENIOR COMMUNITY DEVELOPMENT, LP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OUACHITA SENIORS & RETIREES, INC.",
"enumeration_date": "2011-05-27",
"last_updated": "2011-05-27",
"status": "A",
"authorized_official_last_name": "SHEPARD",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "MANAGEMENT COMPANY",
"authorized_official_telephone_number": "479-394-2600"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASSISTED LIVING FACILITY",
"identifier": "3104A0630X",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Oaks at Mena, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mena, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.