Muneton Foundation

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

Legal business name

MUNETON FOUNDATION

Practice address

104 Kinross Dr
Bella Vista, AR 72715-4604

Phone

(646) 248-2080

NPI assigned

Jan 3, 2026

Organization subpart

No

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

Authorized official

Name

Ms. Carla Grantt

Title

Program Director

Phone

(646) 248-2080

Specialties & licenses 6

Addresses

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

{
    "created_epoch": "1767398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767398400000",
    "number": "1174489199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 WILLIS LN",
            "city": "PEA RIDGE",
            "state": "AR",
            "postal_code": "727513235",
            "telephone_number": "646-248-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 KINROSS DR",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727154604",
            "telephone_number": "646-248-2080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 Willis Ln",
            "address_purpose": "LOCATION",
            "city": "Pea Ridge",
            "state": "AR",
            "postal_code": "727513235",
            "country_code": "US",
            "telephone_number": "646-248-2080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MUNETON FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-03",
        "last_updated": "2026-01-03",
        "certification_date": "2026-01-03",
        "status": "A",
        "authorized_official_last_name": "GRANTT",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "646-248-2080",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Rose Mira, APRN
• Jamie Mitchum, PHARMD
• Coleen Leann Moore, PT
• Mountaincrest Rehab of Bella Vista, Inc.
• Mountaincrest Rehabilitation
• Candice Murphree
• Lindsey Neri
• New Boston Medical Group LLP
• Jeff Scott Norbeck
• Christine L Ong, PT

• Licensed Practical Nurse in Bella Vista, AR
• Providers in Bella Vista, AR by specialty
• Licensed Practical Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2026; 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.