West Memphis Healthcare Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WEST MEMPHIS HEALTHCARE CENTER, LLC

Doing business as

Broadway Healthcare Center

Practice address

800 West Broadway
West Memphis, AR 72301

Phone

(870) 735-5174

Fax

(870) 735-0516

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Jeanne Butterworth

Title

Cfo

Phone

(410) 527-4083

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Broadway Healthcare Center Doing business as

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1598775686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK RD",
            "address_2": "EXECUTIVE PLAZA 3, SUITE 503",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311002",
            "telephone_number": "410-527-4083",
            "fax_number": "410-527-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WEST BROADWAY",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "72301",
            "telephone_number": "870-735-5174",
            "fax_number": "870-735-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MEMPHIS HEALTHCARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "BUTTERWORTH",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "410-527-4083",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154008311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadway Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leslie Ann Wells, MHPP
• Ronda M Welty
• Mary-Katherine Corban Werner, OT
• West Memphis Dental Group
• West Memphis Eye Center, PA (Glen Edward Bryant jr.)
• West Memphis Operators LLC
• West Memphis Pet Imaging, LLC
• West Memphis School District
• West Memphis Wellness LLC
• Britni Denise Westmoreland, MCDCF-SLP

• Skilled Nursing Facility in West Memphis, AR
• Providers in West Memphis, 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 Apr 17, 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.