Organization Active NPI

Benson Nursing Home, Inc

  • Skilled Nursing Facility
  • Nashville, AR
National Provider Identifier
1083782080
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0055 Issued in AR
Legal business name
BENSON NURSING HOME, INC
Practice address
1315 S Hutchinson St
Nashville, AR 71852-3259
Phone
(870) 845-4933
Fax
(870) 845-2183
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Willie G Benson, Jr., RN
Title
President
Phone
(870) 845-4933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0055 AR Primary

Addresses

Primary practice location

1315 S Hutchinson St
Nashville, AR 71852-3259

Mailing address

1315 S Hutchinson St
Nashville, AR 71852-3259
Phone (870) 845-4933

Other identifiers 1

IdentifierTypeStateIssuer
04A248MedicaidAR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083782080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 S HUTCHINSON ST",
            "city": "NASHVILLE",
            "state": "AR",
            "postal_code": "718523259",
            "telephone_number": "870-845-4933",
            "fax_number": "870-845-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 S HUTCHINSON ST",
            "city": "NASHVILLE",
            "state": "AR",
            "postal_code": "718523259",
            "telephone_number": "870-845-4933",
            "fax_number": "870-845-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENSON NURSING HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENSON,",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-845-4933",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "0055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04A248",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, AR

Sources for this page

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