Active NPI
De Queen Therapy & Living Center, Inc.
- Skilled Nursing Facility
- De Queen, AR
National Provider Identifier
1497164404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- DE QUEEN THERAPY & LIVING CENTER, INC.
- Practice address
- 322 W Collin Raye Dr
De Queen, AR 71832-2007 - Phone
- (870) 642-3562
- NPI assigned
- Aug 5, 2014
- Last updated
- Aug 5, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joshua Allen Kilgore
- Title
- President
- Phone
- (479) 434-5500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
322 W Collin Raye Dr
De Queen, AR 71832-2007
Mailing address
1150 S Waldron Rd
Fort Smith, AR 72903-2583
Phone (479) 434-5500
National Provider Directory
National Provider DirectoryLocations
1150 S Waldron Rd
Fort Smith, AR 72903
Phone (479) 434-5500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1407196800000",
"number": "1497164404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 S WALDRON RD",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729032583",
"telephone_number": "479-434-5500",
"fax_number": "479-434-5526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 W COLLIN RAYE DR",
"city": "DE QUEEN",
"state": "AR",
"postal_code": "718322007",
"telephone_number": "870-642-3562"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DE QUEEN THERAPY & LIVING CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-05",
"last_updated": "2014-08-05",
"status": "A",
"authorized_official_last_name": "KILGORE",
"authorized_official_first_name": "JOSHUA",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "479-434-5500",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in De Queen, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.