Organization Active NPI

Rogers Memory Care, LLC

Doing business as Grand Brook Memory Care of Rogers

  • Assisted Living Facility
  • Rogers, AR
National Provider Identifier
1528663085
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ROGERS MEMORY CARE, LLC
Doing business as
Grand Brook Memory Care of Rogers
Practice address
5125 W Pleasant Grove Rd
Rogers, AR 72758-4510
Phone
(479) 372-4508
NPI assigned
Dec 2, 2020
Last updated
Dec 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Authorized official

Name
Chad Anderson
Title
President
Phone
(469) 331-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

5125 W Pleasant Grove Rd
Rogers, AR 72758-4510

Mailing address

7708 San Jacinto PL Ste 100
Plano, TX 75024-3206
Phone (469) 331-8200

Other names 1

  • Grand Brook Memory Care of Rogers 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": "1606867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1528663085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7708 SAN JACINTO PL STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243206",
            "telephone_number": "469-331-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5125 W PLEASANT GROVE RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727584510",
            "telephone_number": "479-372-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGERS MEMORY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-331-8200"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Brook Memory Care of Rogers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.