Organization Active NPI

Benton Healthcare Center, LLC

  • Skilled Nursing Facility
  • Benton, AR
National Provider Identifier
1407866593
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BENTON HEALTHCARE CENTER, LLC
Practice address
19701 Interstate 30
Benton, AR 72015-8024
Phone
(501) 778-8200
Fax
(501) 778-9652
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Authorized official

Name
Ms. Jeanne Butterworth
Title
Cfo
Phone
(410) 527-4083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

19701 Interstate 30
Benton, AR 72015-8024

Mailing address

11350 McCormick Rd
Suite 503
Hunt Valley, MD 21031
Phone (410) 527-4083

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1407866593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK RD",
            "address_2": "SUITE 503",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "21031",
            "telephone_number": "410-527-4083",
            "fax_number": "410-527-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19701 INTERSTATE 30",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720158024",
            "telephone_number": "501-778-8200",
            "fax_number": "501-778-9652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENTON HEALTHCARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "BUTTERWORTH",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "410-527-4083",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.