Manila Nursing and Rehabilitation Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

671 Issued in AR

Legal business name

MANILA NURSING AND REHABILITATION CENTER, INC.

Doing business as

Manila Nursing Center

Practice address

814 N Davis St
Manila, AR 72442-9107

Phone

(870) 561-3342

Fax

(870) 561-4412

NPI assigned

Sep 22, 2005

Last updated

Dec 6, 2007By 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

A Brandon Adams

Title

President

Phone

(501) 932-0050

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Manila Nursing Center Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Extendi-Care, Inc.

  dba Lakeside DME

  • Durable Medical Equipment & Medical Supplies
  • Conway, AR
  • NPI 1316933658

  Member Of

  NPD member

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1184610404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430",
            "city": "MANILA",
            "state": "AR",
            "postal_code": "724420430",
            "telephone_number": "870-561-3342",
            "fax_number": "870-561-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 N DAVIS ST",
            "city": "MANILA",
            "state": "AR",
            "postal_code": "724429107",
            "telephone_number": "870-561-3342",
            "fax_number": "870-561-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANILA NURSING AND REHABILITATION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "A",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-932-0050"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119679311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manila Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brenda A Kennedy, APN
• Z'Kiah Kuykendall, LAC
• Kelley Anne Lammers, LPC
• Kendall Layne, LAC
• Lifetime Medical Supply, Inc.
• Manila School District
• Reagan Earl Martin II, LMSW
• Richard J Martin, LMSW
• Ashley Massey, PHARM.D.
• Kayla Nicole May, APRN

• Skilled Nursing Facility in Manila, AR
• Providers in Manila, 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 Dec 6, 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.