Organization Active NPI

Senior Care Inc

  • Assisted Living Facility
  • Judsonia, AR
National Provider Identifier
1205899085
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
133 Issued in AR
Legal business name
SENIOR CARE INC
Practice address
101 Cynthia St
Judsonia, AR 72081
Phone
(501) 729-5747
Fax
(501) 729-1843
NPI assigned
Apr 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joey Martin Wiggins
Title
Vice President
Phone
(501) 305-3153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 133 AR Primary

Addresses

Primary practice location

101 Cynthia St
Judsonia, AR 72081

Mailing address

PO Box 670
Judsonia, AR 72081
Phone (501) 729-5747

Other names 1

  • Oakdale Manor Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205899085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670",
            "city": "JUDSONIA",
            "state": "AR",
            "postal_code": "72081",
            "telephone_number": "501-729-5747",
            "fax_number": "501-729-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CYNTHIA ST",
            "city": "JUDSONIA",
            "state": "AR",
            "postal_code": "72081",
            "telephone_number": "501-729-5747",
            "fax_number": "501-729-1843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WIGGINS",
        "authorized_official_first_name": "JOEY",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "501-305-3153"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AR",
            "license": "133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oakdale Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Judsonia, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.