KMJ Enterprises Trumann LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

719 Issued in AR

Legal business name

KMJ ENTERPRISES TRUMANN LLC

Doing business as

Trumann Health and Rehabilitation Center

Practice address

333 Melody Dr
Trumann, AR 72472-3418

Phone

(870) 483-7623

Fax

(870) 483-2218

NPI assigned

Oct 3, 2005

Organization subpart

Yes

Parent organization

KMJ MANAGEMENTAs reported in NPPES

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

Authorized official

Name

Patricia Miller

Title

President/Ceo

Phone

(479) 636-5716

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Trumann Health and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1588651764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 MELODY DR",
            "city": "TRUMANN",
            "state": "AR",
            "postal_code": "724723418",
            "telephone_number": "870-483-7623",
            "fax_number": "870-483-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 MELODY DR",
            "city": "TRUMANN",
            "state": "AR",
            "postal_code": "724723418",
            "telephone_number": "870-483-7623",
            "fax_number": "870-483-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMJ ENTERPRISES TRUMANN LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KMJ MANAGEMENT",
        "enumeration_date": "2005-10-03",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "479-636-5716"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119727311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trumann Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kidspot Trumann Inc.
• Kidspot Trumann Inc.
• Kidspot Trumann Inc.
• Kidspot Trumann Inc.
• Sarah Kilgore, MHPP
• Chasity Laire
• Kourtney Lamb, M.S., CF-SLP
• Katie Landers, LCSW
• Lauren Lane, LCSW
• Margaret Larson

• Skilled Nursing Facility in Trumann, AR
• Providers in Trumann, 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 Jun 10, 2008; 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.