Beverly Enterprises - Arkansas, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BEVERLY ENTERPRISES - ARKANSAS, INC.

Practice address

301 Boundary St
Magnolia, AR 71753-3305

Phone

(870) 234-1361

NPI assigned

May 24, 2006

Organization subpart

Yes

Parent organization

BEVERLY HEALTH AND REHABILITATION SERVICES INCAs reported in NPPES

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

Authorized official

Name

Mr. David G. Merrell

Title

Vice President and Asst Secretary

Phone

(479) 201-4840

Specialties & licenses 1

Addresses

Other names 1

• Beverly LivingCenter - Magnolia Doing business as

Part of

Pharmacy Corp of America

Locations

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1124073408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BOUNDARY ST",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717533305",
            "telephone_number": "870-234-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 BOUNDARY ST",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717533305",
            "telephone_number": "870-234-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY ENTERPRISES - ARKANSAS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEVERLY HEALTH AND REHABILITATION SERVICES INC",
        "enumeration_date": "2006-05-24",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "MERRELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "VICE PRESIDENT AND ASST SECRETARY",
        "authorized_official_telephone_number": "479-201-4840",
        "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": "Beverly LivingCenter - Magnolia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sierra Nichole Beaird, OT-A
• Emmalee Beene Gregory, DDS
• Daniel Tilmon Beene, DDS
• Willis Tilmon Beene, DDS
• Jensyn Belin
• Kevin E Bias, PT,MS,MED
• Jennifer Leigh Biddle, APRN
• Jimmeka Blakemore
• George Barnes Bloom II, MD
• Dan Bocan, CRNA

• All providers in Magnolia, AR
• Skilled Nursing Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.