Northridge HC&R Nursing LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

NORTHRIDGE HC&R NURSING LLC

Doing business as

Northridge Healthcare and Rehabilitation

Practice address

2501 John Ashley Dr
North Little Rock, AR 72114-1815

Phone

(501) 758-3800

Fax

(501) 758-2276

NPI assigned

Feb 21, 2012

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• Northridge Healthcare and Rehabilitation Doing business as

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336348800000",
    "number": "1558634683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 JOHN ASHLEY DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721141815",
            "telephone_number": "501-758-3800",
            "fax_number": "501-758-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 JOHN ASHLEY DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721141815",
            "telephone_number": "501-758-3800",
            "fax_number": "501-758-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHRIDGE HC&R NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-21",
        "last_updated": "2012-05-07",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191373311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northridge Healthcare and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• North Little Rock Women's Clinic, P.a.
• North Little Rock, PLLC (River City Health Care)
• North Pulaski Urology PL
• North Shore Family Dental Care LLC (North Shore Family Dental Care)
• Northcare LLC (Northridge Healthcare & Rehabilitation)
• Northside Therapy Center Inc
• Ashley Nicole Norton, PHARMD
• Samuel W. Norwood II, M.D.
• Amanda J Novack, MD
• James Bill Nowlin, MD

• Skilled Nursing Facility in North Little Rock, AR
• Providers in North 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 7, 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.