Cla-Clif Nursing and Rehab Center, Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

035 Issued in AR

Legal business name

CLA-CLIF NURSING AND REHAB CENTER, INC.

Practice address

1214 N Main St
Brinkley, AR 72021-2122

Phone

(870) 734-3636

Fax

(870) 734-4650

NPI assigned

Dec 5, 2006

Last updated

Feb 10, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Billy Clay

Title

Administrator

Phone

(870) 734-3636

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1598823320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 671",
            "city": "BRINKLEY",
            "state": "AR",
            "postal_code": "720210671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 N MAIN ST",
            "city": "BRINKLEY",
            "state": "AR",
            "postal_code": "720212122",
            "telephone_number": "870-734-3636",
            "fax_number": "870-734-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLA-CLIF NURSING AND REHAB CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "BILLY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "870-734-3636"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "AR",
            "license": "035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04A280",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nursing Facility/Intermediate Care Facility in Brinkley, AR
• Providers in Brinkley, AR by specialty
• Nursing Facility/Intermediate Care Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.