NPIMap

Organization Active NPI

Arkansas Elder Outreach of Little Rock, Inc.

Doing business as Encore Healthcare and REhabilitation

  • Skilled Nursing Facility
  • Malvern, AR
National Provider Identifier
1407933633
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
734 Issued in AR
Legal business name
ARKANSAS ELDER OUTREACH OF LITTLE ROCK, INC.
Doing business as
Encore Healthcare and REhabilitation
Practice address
1820 W Moline St
Malvern, AR 72104-2644
Phone
(501) 337-9581
Fax
(501) 337-9168
NPI assigned
Nov 1, 2006
Last updated
Feb 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2015

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

Authorized official

Name
Mr. Darvin C. McMorris
Title
Agent/Authorized Official
Phone
(225) 769-7960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 734 AR Primary

Addresses

Primary practice location

1820 W Moline St
Malvern, AR 72104-2644

Mailing address

1820 W Moline St
Malvern, AR 72104-2644
Phone (501) 337-9581

Other names 1

  • Encore Healthcare and REhabilitation Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Arkansas Elder Outreach of Little Rock Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1820 W Moline St
Malvern, AR 72104
Phone (501) 337-9581

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Encore Healthcare and REhabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Malvern, AR

Sources for this page

  • 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.