Highlands of Little Rock South Cumberland Holdings LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1108 Issued in AR

Legal business name

HIGHLANDS OF LITTLE ROCK SOUTH CUMBERLAND HOLDINGS LLC

Doing business as

Highlands of Little Rock at Cumberland Therapy and Living Center

Practice address

1516 Cumberland St
Little Rock, AR 72202-5065

Phone

(501) 374-7565

Fax

(501) 372-8026

NPI assigned

Mar 11, 2016

Organization subpart

No

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

Authorized official

Name

Joseph Schwartz

Title

Manager

Phone

(201) 635-1195

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Highlands of Little Rock at Cumberland Therapy and Living Center Doing business as

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462838400000",
    "number": "1508227075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 CUMBERLAND ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722025065",
            "telephone_number": "501-374-7565",
            "fax_number": "501-372-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 CUMBERLAND ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722025065",
            "telephone_number": "501-374-7565",
            "fax_number": "501-372-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLANDS OF LITTLE ROCK SOUTH CUMBERLAND HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-11",
        "last_updated": "2016-05-10",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-635-1195"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "1108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212735311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highlands of Little Rock at Cumberland Therapy and Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Amy Peterson Highley, M.S., CCC-SLP
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• Skilled Nursing Facility in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Skilled Nursing Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.