Bella Vista Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

834 Issued in AR

Legal business name

BELLA VISTA HEALTHCARE LLC

Doing business as

Concordia Care Center

Practice address

7 Professional Dr
Bella Vista, AR 72714-2462

Phone

(479) 855-3714

Fax

(479) 855-6688

NPI assigned

Feb 5, 2007

Last updated

Jun 20, 2008By 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

Mrs. Alice Marie Clark Danks

Title

Vice President of Finance

Phone

(423) 308-1845

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Concordia Care Center Doing business as

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1356489868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 PROFESSIONAL DR",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727142462",
            "telephone_number": "479-855-3714",
            "fax_number": "479-855-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 PROFESSIONAL DR",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727142462",
            "telephone_number": "479-855-3714",
            "fax_number": "479-855-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA VISTA HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "CLARK DANKS",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "423-308-1845",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163250311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concordia Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nolan W Barton, OT
• Eric Eugene Belin, MD
• Bella Vista Ambulance Services, Inc.
• Bella Vista Back Center PA
• Bella Vista Counseling
• Bella Vista Hearing Center PLLC
• Bella Vista Pharmacy, Inc
• James M Billis, D.C.
• Jason Blackketter, D.C.
• Linda Lou Boen

• Skilled Nursing Facility in Bella Vista, AR
• Providers in Bella Vista, 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 Jun 20, 2008; 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.