Arkansas Elder Outreach of Little Rock, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

734 Issued in AR

Legal business name

ARKANSAS ELDER OUTREACH OF LITTLE ROCK, INC.

Practice address

1820 W Moline St
Malvern, AR 72104-2644

Phone

(501) 337-9581

Fax

(501) 337-9168

NPI assigned

Nov 1, 2006

Organization subpart

No

Name

Mr. Darvin C. McMorris

Title

Agent/Authorized Official

Phone

(225) 769-7960

• Encore Healthcare and REhabilitation Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 20, 2015.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424390400000",
    "number": "1407933633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 W MOLINE ST",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721042644",
            "telephone_number": "501-337-9581",
            "fax_number": "501-337-9168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 W MOLINE ST",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721042644",
            "telephone_number": "501-337-9581",
            "fax_number": "501-337-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS ELDER OUTREACH OF LITTLE ROCK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2015-02-20",
        "status": "A",
        "authorized_official_last_name": "MCMORRIS",
        "authorized_official_first_name": "DARVIN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "AGENT/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "225-769-7960",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119743311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Encore Healthcare and REhabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Malvern, AR
• Skilled Nursing Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; 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.