Village Comprehensive Therapy East Gate LLC

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

VILLAGE COMPREHENSIVE THERAPY EAST GATE LLC

Practice address

25255 Highway 5 Ste N
Lonsdale, AR 72087-9102

Phone

(501) 922-9911

Fax

(501) 922-9930

NPI assigned

Jun 20, 2012

Organization subpart

No

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

Authorized official

Name

Mr. John Sanchez

Title

Cfo

Phone

(704) 824-7800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1093078552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 COURT DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280541478",
            "telephone_number": "704-824-7800",
            "fax_number": "704-824-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25255 HIGHWAY 5 STE N",
            "city": "LONSDALE",
            "state": "AR",
            "postal_code": "720879102",
            "telephone_number": "501-922-9911",
            "fax_number": "501-922-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE COMPREHENSIVE THERAPY EAST GATE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-20",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "704-824-7800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MJ Eldercare of Arkansas
• Amy Muncrief, MSRDLD
• Lori Marie Saveall, PHARMD
• Tomorrow'S Therapy
• Cody Turner, PHARMD
• Cardin Vo, DPT
• Stephen West Walker, PHARM D

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Lonsdale, AR
• Providers in Lonsdale, AR by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.