Grand Prairie Job Center

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

GRAND PRAIRIE JOB CENTER

Practice address

427 S Maple St
Stuttgart, AR 72160-4205

Phone

(870) 673-8261

Fax

(870) 673-2851

NPI assigned

May 15, 2007

Last updated

Dec 1, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Randall L Pierce

Title

Executive Director

Phone

(870) 673-8261

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1174739437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 S MAPLE ST",
            "city": "STUTTGART",
            "state": "AR",
            "postal_code": "721604205",
            "telephone_number": "870-673-8261",
            "fax_number": "870-673-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 S MAPLE ST",
            "city": "STUTTGART",
            "state": "AR",
            "postal_code": "721604205",
            "telephone_number": "870-673-8261",
            "fax_number": "870-673-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND PRAIRIE JOB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "870-673-8261"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133306774",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121407724",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132581786",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133304767",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121408715",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Forrest Manor Residential Care Facility
• Tori M Frazier, LCSW
• Brandy Erin Fuller, RD,LD
• George M Dunn Jr OD PA
• Godwin Speech Therapy
• Grand Prairie Medical Group, PLLC
• Grand Prairie Physical Therapy of Stuttgart, Inc.
• Grand Prairie Wellness Clinic PLLC
• Paula V Greene, LPC
• Lindsay Elizabeth Guest, DC

• Developmentally Disabled Services Day Training Agency in Stuttgart, AR
• Providers in Stuttgart, AR by specialty
• Developmentally Disabled Services Day Training Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.