Full Circle Recovery Incorporated

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

R27011 Issued in AR

Legal business name

FULL CIRCLE RECOVERY INCORPORATED

Practice address

1131 E Main St
Flippin, AR 72634-8410

Phone

(501) 613-9401

NPI assigned

Feb 18, 2014

Last updated

Feb 18, 2014By 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

Kimberly Neilson, RN

Title

RN/Case MGT

Phone

(501) 613-9401

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1356765903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 E MAIN ST",
            "city": "FLIPPIN",
            "state": "AR",
            "postal_code": "726348410",
            "telephone_number": "501-613-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 E MAIN ST",
            "city": "FLIPPIN",
            "state": "AR",
            "postal_code": "726348410",
            "telephone_number": "501-613-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CIRCLE RECOVERY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-18",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "NEILSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "RN/CASE MGT",
        "authorized_official_telephone_number": "501-613-9401",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "AR",
            "license": "R27011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Fancher, RPH
• Flippin Nursing Center, Inc. (Twin Lakes Nursing and Rehabilitation Center)
• Flippin School
• FPNC, Inc. (Twin Lakes Therapy and Living)
• David Glenn Fulghum, FNP-BC
• Hannah Gallegos
• Lisa M Gardner, PHARMD
• Tracie Lane Gilliland, MSN, APRN, FNP-BC
• GMT and P Enterprises (Flippin Pharmacy)
• Kim Harrison, PD

• Substance Abuse Rehabilitation Facility in Flippin, AR
• Providers in Flippin, AR by specialty
• Substance Abuse Rehabilitation Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.