Cardinal Care Center, P.L.L.C.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

811016814 Issued in AR

Legal business name

CARDINAL CARE CENTER, P.L.L.C.

Practice address

128 Southwinds Rd
Suite 3
Farmington, AR 72730-8652

Phone

(479) 267-6934

Fax

(479) 267-6934

NPI assigned

Sep 15, 2012

Last updated

Sep 15, 2012By 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

Mrs. Sherri Lynn Gansz, LCSWNPI 1235446733

Title

Owner/Psychotherapist

Phone

(479) 267-6934

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sherri Gansz, LCSW

  • Clinical Social Worker
  • Farmington, AR
  • NPI 1235446733
  Medicare reassignment NPD Authorized official
• Carrie Jenkins, MMT, MT-BC

  • Music Therapist
  • Farmington, AR
  • NPI 1922481852
  NPD (past)

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

{
    "created_epoch": "1347667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347667200000",
    "number": "1609126796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 903",
            "city": "FARMINGTON",
            "state": "AR",
            "postal_code": "727300903",
            "telephone_number": "479-267-6934",
            "fax_number": "479-267-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 SOUTHWINDS RD",
            "address_2": "SUITE 3",
            "city": "FARMINGTON",
            "state": "AR",
            "postal_code": "727308652",
            "telephone_number": "479-267-6934",
            "fax_number": "479-267-6934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL CARE CENTER, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-15",
        "last_updated": "2012-09-15",
        "status": "A",
        "authorized_official_last_name": "GANSZ",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "479-267-6934",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AR",
            "license": "811016814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Micah Maelynn Brooks, PTA
• Mary Katelyn Brown
• Sydney Bueker
• Whitley Bunch
• Tamara Sue Campbell
• Benjamin Wagner Carlyle, M.D.
• Trevor Farentino Carter, ATC
• Mallory Causey
• CBC Professionals, LLC
• Randall E Champion

• Community/Behavioral Health Agency in Farmington, AR
• Providers in Farmington, AR by specialty
• Community/Behavioral Health Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.