Organization Active NPI

Somerset Senior Living at Mount Vista

  • Skilled Nursing Facility
  • Harrison, AR
National Provider Identifier
1083088827
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SOMERSET SENIOR LIVING AT MOUNT VISTA
Practice address
202 Tims Ave
Harrison, AR 72601-2229
Phone
(870) 741-7667
NPI assigned
Nov 17, 2015
Last updated
Jul 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Authorized official

Name
Susanne Brown
Title
Administrator
Phone
(870) 741-7667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

202 Tims Ave
Harrison, AR 72601-2229

Mailing address

202 Tims Ave
Harrison, AR 72601-2229
Phone (870) 741-7667

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564358400000",
    "number": "1083088827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 TIMS AVE",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012229",
            "telephone_number": "870-741-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 TIMS AVE",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012229",
            "telephone_number": "870-741-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERSET SENIOR LIVING AT MOUNT VISTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2019-07-29",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SUSANNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "870-741-7667"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing 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 Jul 29, 2019; 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.