Arhc Frbryar01 TRS LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ARHC FRBRYAR01 TRS LLC

Practice address

4216 Fox Ridge Dr
Bryant, AR 72022-8308

Phone

(501) 547-3400

NPI assigned

Jul 19, 2016

Organization subpart

No

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

Authorized official

Name

Jesse Galloway

Title

Authorized Official

Phone

(212) 415-6500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fox Ridge Bryant Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1093168643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13267",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721130267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4216 FOX RIDGE DR",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720228308",
            "telephone_number": "501-547-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARHC FRBRYAR01 TRS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "GALLOWAY",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "212-415-6500"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213923794",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fox Ridge Bryant",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Bryant, AR
• Assisted Living Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.