GNNC, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1023 Issued in AR

Legal business name

GNNC, INC

Doing business as

Gosnell Therapy and Living

Practice address

700 Moody St
Gosnell, AR 72315-6110

Phone

(870) 532-5550

Fax

(870) 532-5600

NPI assigned

Oct 11, 2013

Last updated

Jan 20, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

EAGLE HEALTH SYSTEMS INCAs reported in NPPES

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

Authorized official

Name

Anthony Brandon Adams

Title

President

Phone

(501) 932-0050

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GOSNELL THERAPY AND LIVING Doing business as

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

{
    "created_epoch": "1381449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390176000000",
    "number": "1023445806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MOODY ST",
            "city": "GOSNELL",
            "state": "AR",
            "postal_code": "723156110",
            "telephone_number": "870-532-5550",
            "fax_number": "870-532-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MOODY ST",
            "city": "GOSNELL",
            "state": "AR",
            "postal_code": "723156110",
            "telephone_number": "870-532-5550",
            "fax_number": "870-532-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GNNC, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAGLE HEALTH SYSTEMS INC",
        "enumeration_date": "2013-10-11",
        "last_updated": "2014-01-20",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-932-0050"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "1023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199882311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOSNELL THERAPY AND LIVING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angels Personal Care
• Arkansas Cognitive Care LLC
• CHC Gosnell Health and Rehab, LLC (Gosnell Health and Rehab)
• Natalie Crockett
• Gosnell Drugs Inc.
• Gosnell Healthcare,Inc.
• Gosnell School District
• Gosnell Therapy and Living Center, Inc.
• Whitney Johnson, PMHNP-BC

• Skilled Nursing Facility in Gosnell, AR
• Providers in Gosnell, 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 Jan 20, 2014; 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.