Ozark Nursing Home, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

023 Issued in AR

Legal business name

OZARK NURSING HOME, INC.

Practice address

600 N 12TH St
Ozark, AR 72949-2120

Phone

(479) 667-4791

Fax

(479) 667-5791

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Joshua D Gilbert

Title

Administrator

Phone

(479) 667-4791

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326190778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N 12TH ST",
            "city": "OZARK",
            "state": "AR",
            "postal_code": "729492120",
            "telephone_number": "479-667-4791",
            "fax_number": "479-667-5791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N 12TH ST",
            "city": "OZARK",
            "state": "AR",
            "postal_code": "729492120",
            "telephone_number": "479-667-4791",
            "fax_number": "479-667-5791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "479-667-4791",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SKILLED NURSING FACILITY",
            "identifier": "023",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benyahmin Millar, PTA
• Steven Paul Nelson, MSW, LCSW
• Thomas Edward Owens III, BA, CGCS, ICADC, SAP
• Ozark Chiropractic Clinic
• Ozark Family Pharmacy, LLC
• Ozark SNF Operations LLC (Ozark Nursing and Rehab)
• Ozark Wellness Clinic PLLC
• Alyssa Phillips, PTA
• Cortina Rae Pierce
• Lloyd L Rausher, PD

• Skilled Nursing Facility in Ozark, AR
• Providers in Ozark, 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 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.