Medical Center Senior Services

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

580 Issued in AR

Legal business name

MEDICAL CENTER SENIOR SERVICES

Doing business as

VALLEY OAKS REHABILITATION AND SENIOR LIVINIG

Practice address

1875 Old Wire Rd
Camden, AR 71701-6080

Phone

(870) 836-1387

Fax

(870) 836-1358

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robert J Anders

Title

Cfo

Phone

(870) 836-1387

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• VALLEY OAKS REHABILITATION AND SENIOR LIVINIG Doing business as

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1407802853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 797",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717110797",
            "telephone_number": "870-836-1387",
            "fax_number": "870-836-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 OLD WIRE RD",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717016080",
            "telephone_number": "870-836-1387",
            "fax_number": "870-836-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER SENIOR SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "ANDERS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "870-836-1387",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NURSING HOME",
            "identifier": "15173",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119577311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VALLEY OAKS REHABILITATION AND SENIOR LIVINIG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimyon L McCord, PA-C
• Robert Payton McDonald, MD
• Latina McHenry, LPN
• Laura McKelvin
• M. Melinda McMahan
• Jennifer L. Mercy, MHP, LAC
• Mickey W. Lindsey D.D.S.,P.a.
• Marshall I. Mitchell, D.D.S.
• Morrisons Properties Inc
• Morrisons Properties Inc

• Skilled Nursing Facility in Camden, AR
• Providers in Camden, 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 Dec 15, 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.