Eldercare of Arkansas V, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

438 Issued in AR

Legal business name

ELDERCARE OF ARKANSAS V, INC.

Doing business as

StoneBridge of Cabot

Practice address

601 E. Mountain Springs Road
Cabot, AR 72023

Phone

(501) 286-7720

Fax

(501) 286-7721

NPI assigned

Mar 29, 2018

Last updated

Mar 29, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Lierman

Title

Ceo

Phone

(636) 477-3280

Specialties & licenses 1

Addresses

Other names 1

• StoneBridge of Cabot Doing business as

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1437654670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 S. OLD HIGHWAY 94",
            "address_2": "SUITE 104",
            "city": "ST. CHARLES",
            "state": "MO",
            "postal_code": "63303",
            "telephone_number": "636-477-3280",
            "fax_number": "636-477-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E. MOUNTAIN SPRINGS ROAD",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "72023",
            "telephone_number": "501-286-7720",
            "fax_number": "501-286-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERCARE OF ARKANSAS V, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "LIERMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "636-477-3280"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AR",
            "license": "438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "StoneBridge of Cabot",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Cabot, AR
• Providers in Cabot, AR by specialty
• Assisted Living Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.