Village Park of Conway, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

042 Issued in AR

Legal business name

VILLAGE PARK OF CONWAY, INC.

Practice address

1622 Scott St
Conway, AR 72034-5235

Phone

(501) 327-6428

NPI assigned

Nov 12, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle D. Joyner, RN

Title

Vice-President

Phone

(501) 268-9579

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1225365190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 HONEY HILL LOOP",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721439170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 SCOTT ST",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720345235",
            "telephone_number": "501-327-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE PARK OF CONWAY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-12",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "JOYNER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "501-268-9579",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AR",
            "license": "042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177426794",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Macey Anne Vaught
• Penny Annette Vaught, MS, CCC-SLP
• Anastasia Nicole Ventrano, OT
• Vibrant ABA Ar LLC
• Vida Physical Therapy PLLC
• Village Park Residential Living Inc
• Justin Vining, MHPP
• Dominique Deaju Vinson, QBHP
• Janell Thompson Vinson, MD
• Demarcus Virgies, RECOVERY ASSISTANT

• Assisted Living Facility in Conway, AR
• Providers in Conway, 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 Nov 12, 2009; 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.