NPIMap

Organization Active NPI

Stoneridge Operations, LLC

  • Skilled Nursing Facility
  • College Station, AR
National Provider Identifier
1104214352
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
STONERIDGE OPERATIONS, LLC
Practice address
4017 Franklin Street
College Station, AR 72053
Phone
(501) 490-1533
NPI assigned
Dec 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Authorized official

Name
Mr. Ross Ponthie
Title
Managing Member
Phone
(318) 443-8167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

4017 Franklin Street
College Station, AR 72053

Mailing address

4017 Franklin Street
College Station, AR 72053
Phone (501) 490-1533

Other names 1

  • Stoneridge Nursing and Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
VHS Brownsville Hospital Company LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1104214352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4017 FRANKLIN STREET",
            "city": "COLLEGE STATION",
            "state": "AR",
            "postal_code": "72053",
            "telephone_number": "501-490-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4017 FRANKLIN STREET",
            "city": "COLLEGE STATION",
            "state": "AR",
            "postal_code": "72053",
            "telephone_number": "501-490-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONERIDGE OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-22",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "PONTHIE",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "318-443-8167",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stoneridge Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in College Station, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; 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.