Forrest Manor Residential Care Facility

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

434 Issued in AR

Legal business name

FORREST MANOR RESIDENTIAL CARE FACILITY

Practice address

420 W Huron St
Stuttgart, AR 72160-2806

Phone

(870) 830-6026

Fax

(870) 673-4383

NPI assigned

May 26, 2007

Last updated

Aug 22, 2020By 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. Cathy Ann Adams

Title

Owner

Phone

(870) 673-4383

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1180137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366653537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W HURON ST",
            "city": "STUTTGART",
            "state": "AR",
            "postal_code": "721602806",
            "telephone_number": "870-673-4383",
            "fax_number": "870-673-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W HURON ST",
            "city": "STUTTGART",
            "state": "AR",
            "postal_code": "721602806",
            "telephone_number": "870-830-6026",
            "fax_number": "870-673-4383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORREST MANOR RESIDENTIAL CARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-673-4383",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AR",
            "license": "434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Fielder, O.D.
• James L Fish, D.D.S.
• Azure Fitzpatrick, MHPP
• Madison Fleming, PTA
• Loura Flowers
• Tori M Frazier, LCSW
• Brandy Erin Fuller, RD,LD
• George M Dunn Jr OD PA
• Godwin Speech Therapy
• Grand Prairie Job Center

• Assisted Living Facility in Stuttgart, AR
• Providers in Stuttgart, 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 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.