Shenandoah Inc
Organization Active NPI Assisted Living Facility · West Point, AR
NPI 1396965745 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1396965745
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- SHENANDOAH INC
- Practice address
- 106 School St.
West Point, AR 72178 - Phone
- (501) 742-3563
- Fax
- (501) 742-3868
- NPI assigned
- Apr 26, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. James Mason Carter
- Title
- President - Owner
- Phone
- (501) 742-3563
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Yes |
Addresses
Primary practice location
106 School St.
West Point, AR 72178
Mailing address
106 School St.
P.O. Box 35
West Point, AR 72178-0035
Phone (501) 742-3563
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10783282 | Medicaid | AR |
Other names
- shenandoah east
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.