Organization Active NPI

Countryside at Rock Springs LLC

  • Assisted Living Facility
  • Harrison, AR
National Provider Identifier
1063153385
Registry record updated Apr 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
COUNTRYSIDE AT ROCK SPRINGS LLC
Practice address
51 Countryside Cir
Harrison, AR 72601-5323
Phone
(870) 517-5080
Fax
(870) 517-5998
NPI assigned
Apr 2, 2022
Last updated
Apr 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2022

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

Authorized official

Name
Mrs. Tara Helen Thompson-Box
Title
Owner
Phone
(479) 738-8717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

51 Countryside Cir
Harrison, AR 72601-5323

Mailing address

4900 Madison 2035
Huntsville, AR 72740-8786
Phone (479) 738-8717

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1648857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648857600000",
    "number": "1063153385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 MADISON 2035",
            "city": "HUNTSVILLE",
            "state": "AR",
            "postal_code": "727408786",
            "telephone_number": "479-738-8717",
            "fax_number": "870-517-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 COUNTRYSIDE CIR",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726015323",
            "telephone_number": "870-517-5080",
            "fax_number": "870-517-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRYSIDE AT ROCK SPRINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-02",
        "last_updated": "2022-04-02",
        "certification_date": "2022-04-02",
        "status": "A",
        "authorized_official_last_name": "THOMPSON-BOX",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "HELEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-738-8717",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2022; 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.