Active NPI
Benton Investments & Associates, LLC
- Skilled Nursing Facility
- Benton, AR
National Provider Identifier
1598810673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 783
- Legal business name
- BENTON INVESTMENTS & ASSOCIATES, LLC
- Doing business as
- Grace Healthcare of Benton
- Practice address
- 3300 Alcoa Rd
Benton, AR 72015-6032 - Phone
- (501) 315-1700
- Fax
- (501) 315-1720
- NPI assigned
- Jan 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brad Hartley, LNHA
- Title
- Administrator
- Phone
- (501) 315-1700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 783 | AR | Primary |
Addresses
Primary practice location
3300 Alcoa Rd
Benton, AR 72015-6032
Mailing address
3300 Alcoa Rd
Benton, AR 72015-6032
Phone (501) 315-1700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 783 | Other | AR | FACILITY LICENSE# |
| 0872 | Other | AR | STATE VENDOR# |
Other names 1
- Grace Healthcare of Benton
National Provider Directory
National Provider DirectoryLocations
3300 Alcoa Rd
Benton, AR 72015
Phone (501) 315-1700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1598810673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 ALCOA RD",
"city": "BENTON",
"state": "AR",
"postal_code": "720156032",
"telephone_number": "501-315-1700",
"fax_number": "501-315-1720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 ALCOA RD",
"city": "BENTON",
"state": "AR",
"postal_code": "720156032",
"telephone_number": "501-315-1700",
"fax_number": "501-315-1720"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENTON INVESTMENTS & ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HARTLEY",
"authorized_official_first_name": "BRAD",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "501-315-1700",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LNHA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "AR",
"license": "783",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FACILITY LICENSE#",
"identifier": "783",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE VENDOR#",
"identifier": "0872",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Grace Healthcare of Benton",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Benton, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.