Park Heritage Nursing, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PARK HERITAGE NURSING, LLC

Practice address

1513 S Dixieland Rd
Rogers, AR 72758-4935

Phone

(479) 636-5841

Fax

(479) 621-8345

NPI assigned

Sep 22, 2011

Organization subpart

No

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

Authorized official

Name

Boyd Gentry

Title

President & Ceo

Phone

(937) 964-8974

Specialties & licenses 1

Addresses

Other names 1

• Heritage Park Nursing Center Doing business as

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1205119641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 S DIXIELAND RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727584935",
            "telephone_number": "479-636-5841",
            "fax_number": "479-621-8345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 S DIXIELAND RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727584935",
            "telephone_number": "479-636-5841",
            "fax_number": "479-621-8345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK HERITAGE NURSING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-22",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "GENTRY",
        "authorized_official_first_name": "BOYD",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "937-964-8974"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Park Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John James Pappas, MD
• Paradigm Chiropractic PLLC
• Parenti-Morris Eyecare PLLC
• Pete F Parenti, OD
• Dayton Parish
• Aubrey Park
• Kharma K Parker, EDD LPC LMFT
• Sierra N Parker, NP
• Thomas Parker, LAC
• Shara Parrish

• Skilled Nursing Facility in Rogers, AR
• Providers in Rogers, 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 Sep 22, 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.