NPIMap

Organization Active NPI

United Methodist Children's Home

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Little Rock, AR
National Provider Identifier
1174763536
Registry record updated Feb 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
UNITED METHODIST CHILDREN'S HOME
Practice address
1600 Aldersgate Rd
Suite 200
Little Rock, AR 72205-6614
Phone
(501) 661-0720
Fax
(501) 325-7938
NPI assigned
Feb 25, 2009
Last updated
Feb 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2009

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

Authorized official

Name
Craig Gammon
Title
Administrator
Phone
(501) 661-0720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

1600 Aldersgate Rd
Suite 200
Little Rock, AR 72205-6614

Mailing address

211 Pecan Ave
Magnolia, AR 71753-2775
Phone (501) 661-0720

Other names 1

  • Magale Manor Other name

National Provider Directory

National Provider Directory
Tax ID family
Ar Cares9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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": "1235520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1174763536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 PECAN AVE",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717532775",
            "telephone_number": "501-661-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 ALDERSGATE RD",
            "address_2": "SUITE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056614",
            "telephone_number": "501-661-0720",
            "fax_number": "501-325-7938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED METHODIST CHILDREN'S HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-25",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "GAMMON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "501-661-0720"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magale Manor",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; 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.