Mena Health, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MENA HEALTH, LLC

Doing business as

Mena Manor

Practice address

100 9TH St
Mena, AR 71953-3026

Phone

(479) 394-2617

Fax

(479) 394-3928

NPI assigned

Dec 3, 2013

Last updated

Nov 6, 2014By 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

Mr. Phillip Cody Long

Title

Treasurer & Cfo

Phone

(479) 464-0200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mena Manor Doing business as

Locations

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1205267101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S 1ST ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727564509",
            "telephone_number": "479-464-0200",
            "fax_number": "479-464-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 9TH ST",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719533026",
            "telephone_number": "479-394-2617",
            "fax_number": "479-394-3928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENA HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-03",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "CODY",
        "authorized_official_title_or_position": "TREASURER & CFO",
        "authorized_official_telephone_number": "479-464-0200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201135311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mena Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mena Center for Womens Health, PA
• Mena Dialysis Center LLC (Mena Dialysis Center)
• Mena Eye Care
• Mena Family Health Center
• Mena General Surgical Services, L.L.C.
• Mena Heart and Vascular Clinic
• Mena Hospital Commission (Mena Regional Health System)
• Mena Hospital Commission (Grannis Medical Clinic)
• Mena Hospital Commission (Mena Regional Health System)
• Mena Hospital Commission (Mountain View Clinic)

• Skilled Nursing Facility in Mena, AR
• Providers in Mena, 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 Nov 6, 2014; 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.