Organization Active NPI

Mountain Top Alf LLC

Doing business as Stone County Residential Care Facility

  • Assisted Living Facility
  • Mountain View, AR
National Provider Identifier
1407275639
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
493 Issued in AR
Legal business name
MOUNTAIN TOP ALF LLC
Doing business as
Stone County Residential Care Facility
Practice address
414 Massey Ave
Mountain View, AR 72560-6132
Phone
(870) 269-5845
Fax
(870) 269-2172
NPI assigned
Apr 15, 2014
Last updated
Apr 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

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

Authorized official

Name
Boyd Gentry
Title
President & Ceo
Phone
(678) 869-5116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 493 AR Primary

Addresses

Primary practice location

414 Massey Ave
Mountain View, AR 72560-6132

Mailing address

414 Massey Ave
Mountain View, AR 72560-6132
Phone (870) 269-5845

Other names 1

  • Stone County Residential Care Facility Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1407275639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 MASSEY AVE",
            "city": "MOUNTAIN VIEW",
            "state": "AR",
            "postal_code": "725606132",
            "telephone_number": "870-269-5845",
            "fax_number": "870-269-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 MASSEY AVE",
            "city": "MOUNTAIN VIEW",
            "state": "AR",
            "postal_code": "725606132",
            "telephone_number": "870-269-5845",
            "fax_number": "870-269-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN TOP ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "GENTRY",
        "authorized_official_first_name": "BOYD",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "678-869-5116"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AR",
            "license": "493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stone County Residential Care Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountain View, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; 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.