Beverly Enterprises - Arkansas, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BEVERLY ENTERPRISES - ARKANSAS, INC.

Doing business as

Beverly LivingCenter - Paragould

Practice address

1800 Linwood Dr
Paragould, AR 72450-5817

Phone

(870) 236-7104

NPI assigned

May 24, 2006

Organization subpart

Yes

Parent organization

BEVERLY HEALTH AND REHABILITATION SERVICES, INC.As reported in NPPES

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

Authorized official

Name

Holly A Rasmussen

Title

Secretary

Phone

(479) 201-4835

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Beverly LivingCenter - Paragould Doing business as

Part of

Clinton Conv Ctr

Locations

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238112000000",
    "number": "1386699668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 LINWOOD DR",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724505817",
            "telephone_number": "870-236-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 LINWOOD DR",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724505817",
            "telephone_number": "870-236-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY ENTERPRISES - ARKANSAS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEVERLY HEALTH AND REHABILITATION SERVICES, INC.",
        "enumeration_date": "2006-05-24",
        "last_updated": "2009-03-27",
        "status": "A",
        "authorized_official_last_name": "RASMUSSEN",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "479-201-4835"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109164311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beverly LivingCenter - Paragould",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Paragould, AR
• Providers in Paragould, 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 Mar 27, 2009; 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.