Retreat at Skyridge

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

RETREAT AT SKYRIDGE

Doing business as

Retreat at Skyridge

Practice address

637 County Road 111
Eureka Springs, AR 72631-9030

Phone

(877) 419-3005

Fax

(877) 419-0358

NPI assigned

Jul 9, 2020

Organization subpart

No

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

Authorized official

Name

Darren Wayne Davis, R. PH

Title

Ceo

Phone

(877) 419-3005

Specialties & licenses 1

Addresses

Other names 1

• Retreat at Skyridge Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1033737762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 COUNTY ROAD 111",
            "city": "EUREKA SPRINGS",
            "state": "AR",
            "postal_code": "726319030",
            "telephone_number": "877-419-3005",
            "fax_number": "877-419-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 COUNTY ROAD 111",
            "city": "EUREKA SPRINGS",
            "state": "AR",
            "postal_code": "726319030",
            "telephone_number": "877-419-3005",
            "fax_number": "877-419-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETREAT AT SKYRIDGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "877-419-3005",
        "authorized_official_credential": "R. PH"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Retreatatskyridge.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "637 County Road 111",
            "city": "Eureka Springs",
            "state": "AR",
            "country_code": "US",
            "postal_code": "726319030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Retreat at Skyridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Abuse Rehabilitation Facility in Eureka Springs, AR
• Providers in Eureka Springs, AR by specialty
• Substance Abuse Rehabilitation Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.