Organization Active NPI

Stonegate Holdings LLC

  • Skilled Nursing Facility
  • Crossett, AR
National Provider Identifier
1023474343
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
STONEGATE HOLDINGS LLC
Practice address
118 Jerry Selby Dr
Crossett, AR 71635-4734
Phone
(870) 229-4282
Fax
(870) 364-1533
NPI assigned
Jan 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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

Authorized official

Name
Joseph Schwartz
Title
Manager
Phone
(201) 635-1195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

118 Jerry Selby Dr
Crossett, AR 71635-4734

Mailing address

118 Jerry Selby Dr
Crossett, AR 71635-4734
Phone (870) 229-4282

Other names 1

  • Stonegate Villa Health and Rehab Doing business as

National Provider Directory

National Provider Directory

Locations

118 Jerry Selby Dr
Crossett, AR 71635
Phone (317) 841-2377

NPI Registry JSON

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1023474343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 JERRY SELBY DR",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716354734",
            "telephone_number": "870-229-4282",
            "fax_number": "870-364-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 JERRY SELBY DR",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716354734",
            "telephone_number": "870-229-4282",
            "fax_number": "870-364-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEGATE HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-04",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-635-1195"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stonegate Villa Health and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crossett, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.