BCC Maumelle Operations, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

028 Issued in AR

Legal business name

BCC MAUMELLE OPERATIONS, LLC

Doing business as

Elmcroft of Maumelle

Practice address

100 Bringler Dr
Maumelle, AR 72113-6882

Phone

(501) 851-0400

Fax

(501) 851-2530

NPI assigned

Oct 22, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Robin L Barber, JD

Title

Vice President

Phone

(502) 753-6004

Specialties & licenses 1

Addresses

Other names 1

• Elmcroft of Maumelle Doing business as

Locations

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

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382400000000",
    "number": "1033547443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 ORMSBY STATION RD",
            "address_2": "SUITE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234081",
            "telephone_number": "502-753-6004",
            "fax_number": "502-753-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BRINGLER DR",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721136882",
            "telephone_number": "501-851-0400",
            "fax_number": "501-851-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BCC MAUMELLE OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-22",
        "last_updated": "2013-10-22",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "502-753-6004",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AR",
            "license": "028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elmcroft of Maumelle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Maumelle, AR
• Providers in Maumelle, AR by specialty
• Assisted Living Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; 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.