Organization Active NPI

Mountain View Nursing LLC

  • Skilled Nursing Facility
  • Mountain View, AR
National Provider Identifier
1508133646
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
979 Issued in AR
Legal business name
MOUNTAIN VIEW NURSING LLC
Practice address
706 Oak Grove St
Mountain View, AR 72560-8601
Phone
(870) 269-5835
Fax
(870) 269-2723
NPI assigned
Nov 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Authorized official

Name
Boyd P Gentry
Title
President & Ceo
Phone
(937) 964-8974

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 979 AR Primary

Addresses

Primary practice location

706 Oak Grove St
Mountain View, AR 72560-8601

Mailing address

706 Oak Grove St
Mountain View, AR 72560-8601
Phone (870) 269-5835

Other identifiers 1

IdentifierTypeStateIssuer
190498311MedicaidAR

Other names 1

  • Stone County Nursing and Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1508133646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 OAK GROVE ST",
            "city": "MOUNTAIN VIEW",
            "state": "AR",
            "postal_code": "725608601",
            "telephone_number": "870-269-5835",
            "fax_number": "870-269-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 OAK GROVE ST",
            "city": "MOUNTAIN VIEW",
            "state": "AR",
            "postal_code": "725608601",
            "telephone_number": "870-269-5835",
            "fax_number": "870-269-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-17",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "GENTRY",
        "authorized_official_first_name": "BOYD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "937-964-8974"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190498311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stone County Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountain View, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; 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.