Eldercare of Arkansas IV, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

437 Issued in AR

Legal business name

ELDERCARE OF ARKANSAS IV, INC.

Practice address

401 Southridge Parkway
Heber Springs, AR 72543

Phone

(501) 362-7023

Fax

(501) 362-5412

NPI assigned

Mar 21, 2018

Last updated

Mar 21, 2018By 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

Mark Lierman

Title

Ceo

Phone

(636) 477-3280

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521590400000",
    "number": "1609370931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 S. OLD HIGHWAY 94",
            "address_2": "SUITE 104",
            "city": "ST. CHARLES",
            "state": "MO",
            "postal_code": "63303",
            "telephone_number": "636-477-3280",
            "fax_number": "636-477-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SOUTHRIDGE PARKWAY",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "72543",
            "telephone_number": "501-362-7023",
            "fax_number": "501-362-5412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERCARE OF ARKANSAS IV, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-21",
        "last_updated": "2018-03-21",
        "status": "A",
        "authorized_official_last_name": "LIERMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "636-477-3280"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AR",
            "license": "437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Massey Devore, LCSW
• Melinda Louise Dorsey, OTRL
• Jarrod Scott Duke, CRNA
• Mark F. Duncan, D.D.S.
• David E. Eades, DDS
• Johnita Elslander
• Dennis Epperson Jr., CRNA
• Family Medical Care, PA
• Debbie Farrar
• Cynthia Bland Fields

• Assisted Living Facility in Heber Springs, AR
• Providers in Heber Springs, AR by specialty
• Assisted Living Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.