St. Francis County Community Development Corporation

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ST. FRANCIS COUNTY COMMUNITY DEVELOPMENT CORPORATION

Practice address

1001 Holiday Drive
Forrest City, AR 97335

Phone

(870) 630-9131

NPI assigned

Oct 31, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Andre Stephens

Title

Executive Director

Phone

(870) 635-0612

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1225314669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 HOLIDAY DR",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723359183",
            "telephone_number": "870-635-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 HOLIDAY DRIVE",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "97335",
            "telephone_number": "870-630-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. FRANCIS COUNTY COMMUNITY DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-31",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "870-635-0612",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genie Spencer
• Michelle Spencer, RN
• St Francis Emergency Group LLC
• William Thomas St John, DDS
• St. Francis Area Developmental Center
• St. Francis Discount Pharmacy LLC
• St. Francis Discount Pharmacy LLC
• Jason Stallings, MHPP
• State of Arkansas (St Francis County Health Unit)
• State of Arkansas (Arkansas Department of Health Hospice 9E)

• Assisted Living Facility in Forrest City, AR
• Providers in Forrest City, AR by specialty
• Assisted Living Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.