Madison Healthcare and Rehabilitation Center LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MADISON HEALTHCARE AND REHABILITATION CENTER LLC

Doing business as

Madison Assisted Living Facility

Practice address

2821 W Dixon Rd
Little Rock, AR 72206-4256

Phone

(501) 888-4080

Fax

(501) 486-9119

NPI assigned

May 19, 2016

Last updated

May 19, 2016By 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

Joseph Schwartz

Title

Manager

Phone

(201) 635-1195

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Madison Assisted Living Facility Doing business as

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1356798300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 W DIXON RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722064256",
            "telephone_number": "501-888-4080",
            "fax_number": "501-486-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 W DIXON RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722064256",
            "telephone_number": "501-888-4080",
            "fax_number": "501-486-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON HEALTHCARE AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-635-1195"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TBD",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison Assisted Living Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anne-Marie Maddox, MD
• Courtland Maddox
• Jennifer Maddox
• Randolph P Maddox, M.D.
• Madison Health & Rehab LLC
• Madison Healthcare and Rehabilitation Center LLC (Madison Healthcare and Rehabilitation Center)
• Madison Residential Care Facility (Madison Health and Rehab)
• Stephanie Janine Magan, MSN, APRN, FNP-BC
• Everett F Magann, MD
• Marcia Magann, NP

• Assisted Living Facility in Little Rock, AR
• Providers in Little Rock, 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 May 19, 2016; 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.