Organization Active NPI

Ouachita Senior Community Development, LP

  • Assisted Living Facility
  • Mena, AR
National Provider Identifier
1013200732
Registry record updated May 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 27, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3104A0630XOtherARASSISTED LIVING FACILITY

Other names 1

  • The Oaks at Mena, LLC Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.