NPIMap

Organization Active NPI

Ella Manor LLC

  • Skilled Nursing Facility
  • El Dorado, AR
National Provider Identifier
1447670351
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
087 Issued in AR
Legal business name
ELLA MANOR LLC
Practice address
1700 E Short Hillsboro St
El Dorado, AR 71730-6458
Phone
(870) 862-5124
Fax
(870) 881-8053
NPI assigned
Apr 17, 2014
Last updated
Apr 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

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

Authorized official

Name
Mrs. Cathy L Parsons
Title
Owner
Phone
(870) 530-3837

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 087 AR Primary

Addresses

Primary practice location

1700 E Short Hillsboro St
El Dorado, AR 71730-6458

Mailing address

1700 E Short Hillsboro St
El Dorado, AR 71730-6458
Phone (870) 862-5124

Other identifiers 1

IdentifierTypeStateIssuer
201308794MedicaidAR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1447670351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E SHORT HILLSBORO ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717306458",
            "telephone_number": "870-862-5124",
            "fax_number": "870-881-8053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E SHORT HILLSBORO ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717306458",
            "telephone_number": "870-862-5124",
            "fax_number": "870-881-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLA MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-17",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "PARSONS",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-530-3837",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201308794",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; 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.