Oak Park Village

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

376 Issued in AR

Legal business name

OAK PARK VILLAGE

Practice address

507 Mountain View Rd
Glenwood, AR 71943-9011

Phone

(870) 356-4426

Fax

(870) 356-3717

NPI assigned

Aug 22, 2007

Last updated

Aug 22, 2007By 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. Wanda L. Archer

Title

Administrator

Phone

(870) 356-4426

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1407049562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 MOUNTAIN VIEW RD",
            "city": "GLENWOOD",
            "state": "AR",
            "postal_code": "719439011",
            "telephone_number": "870-356-4426",
            "fax_number": "870-356-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 MOUNTAIN VIEW RD",
            "city": "GLENWOOD",
            "state": "AR",
            "postal_code": "719439011",
            "telephone_number": "870-356-4426",
            "fax_number": "870-356-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK PARK VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "ARCHER",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "870-356-4426",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AR",
            "license": "376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Dell Moreland, ACNS
• James Motley
• Keri Muldrow, MSN,APRN, PMHNP-BC
• Christina Myrkle, QBHP
• Chyann Napalapalai, QBHP
• Ott Eye Care, PLLC (Glenwood Eye Care)
• Lucas Trent Ott, O.D.
• Mandi Ott
• Ouachita Regional Counseling & Mental Health Center, Inc. (Ouachita Behavioral Health and Wellness)
• Lydia Palmer, QBHP

• Assisted Living Facility in Glenwood, AR
• Providers in Glenwood, 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, 2007; 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.