Northcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

789 Issued in AR

Legal business name

NORTHCARE LLC

Doing business as

Northridge Healthcare & Rehabilitation

Practice address

2501 John Ashley Dr
North Little Rock, AR 72114

Phone

(501) 758-3800

Fax

(501) 758-2276

NPI assigned

Apr 11, 2006

Last updated

Aug 22, 2020By 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

Joey Martin Wiggins

Title

President

Phone

(501) 305-3153

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Northridge Healthcare & Rehabilitation Doing business as

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609839471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 HAWKINS DR",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "72143",
            "telephone_number": "501-305-3153",
            "fax_number": "501-279-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 JOHN ASHLEY DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "72114",
            "telephone_number": "501-758-3800",
            "fax_number": "501-758-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WIGGINS",
        "authorized_official_first_name": "JOEY",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-305-3153"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDIPAK",
            "identifier": "015385",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northridge Healthcare & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• North Shore Family Dental Care LLC (North Shore Family Dental Care)
• Northridge HC&R Nursing LLC (Northridge Healthcare and Rehabilitation)
• Northside Therapy Center Inc
• Ashley Nicole Norton, PHARMD
• Samuel W. Norwood II, M.D.
• Amanda J Novack, MD

• Skilled Nursing Facility in North Little Rock, AR
• Providers in North Little Rock, 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 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.

Verify at the official NPI Registry.