Waverley - Arkansas, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

374 Issued in AR

Legal business name

WAVERLEY - ARKANSAS, INC.

Practice address

610 S Avalon St
West Memphis, AR 72301-4109

Phone

(870) 735-4543

NPI assigned

Nov 3, 2005

Organization subpart

Yes

Parent organization

WAVERLEY-ARKANSAS, INC.As reported in NPPES

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

Authorized official

Name

Mr. Chauncey R. Dunbar, CPA

Title

Secretary / Treasurer

Phone

(601) 956-1576

Specialties & licenses 1

Addresses

Other names 1

• Health Care and Rehabilitation Center of West Memphis Doing business as

Part of

Waverley - Arkansas Inc

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1174514616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 S AVALON ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723014109",
            "telephone_number": "870-735-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 S AVALON ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723014109",
            "telephone_number": "870-735-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVERLEY - ARKANSAS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WAVERLEY-ARKANSAS, INC.",
        "enumeration_date": "2005-11-03",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "DUNBAR",
        "authorized_official_first_name": "CHAUNCEY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "SECRETARY / TREASURER",
        "authorized_official_telephone_number": "601-956-1576",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Care and Rehabilitation Center of West Memphis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Renee Warren, PHLEBOTOMIST
• Latonya Washington, MD
• Betty Jean Watkins, CDA, MHPP
• Shanick Watkins
• Symphonie Watson
• We Care Healthcare
• Dan Whitney Webb, M.D.
• Haley Ann Webb, APRN
• Jason S Webb, PTA
• Richard Moody Webster III

• Skilled Nursing Facility in West Memphis, AR
• Providers in West Memphis, AR by specialty
• Skilled Nursing Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.