Eldercare of Arkansas VI, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ELDERCARE OF ARKANSAS VI, INC.

Doing business as

StoneBridge Russellville

Practice address

1909 E Fairway Blvd
Russellville, AR 72802-4002

Phone

(479) 567-5578

Fax

(479) 567-5625

NPI assigned

Apr 12, 2023

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

President

Phone

(636) 477-3280

Specialties & licenses 1

Addresses

Other names 1

• StoneBridge Russellville Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lauren Huff

  • Family Nurse Practitioner
  • Maumelle, AR
  • NPI 1215592464
  NPD (past)

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1518653757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 S OLD HIGHWAY 94 STE 104",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633035624",
            "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": "1909 E FAIRWAY BLVD",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728024002",
            "telephone_number": "479-567-5578",
            "fax_number": "479-567-5625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERCARE OF ARKANSAS VI, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "LIERMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-477-3280"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "StoneBridge Russellville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Duvall
• Morgan Earp
• Laura Easter, MHPP
• Erica Fern Edwards
• Olivia Rae Edwards
• Carey Ann Ellis Laffoon, APRN
• Brianna Elms, QBHP
• Emerging Hope Therapy, LLC
• Emeritus Corporation
• Emeritus Properties Ark Wildflower LLC

• Assisted Living Facility in Russellville, AR
• Providers in Russellville, 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 Apr 12, 2023; 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.