GNC of Star City Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

699 Issued in AR

Legal business name

GNC OF STAR CITY INC

Doing business as

Gardner Nursing Center

Practice address

702 N Drew St
Star City, AR 71667-5728

Phone

(870) 628-4144

Fax

(870) 628-4891

NPI assigned

Sep 22, 2005

Organization subpart

No

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

Authorized official

Name

Anthony Brandon Adams

Title

Owner/President

Phone

(501) 932-0050

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gardner Nursing Center Doing business as

Locations

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1609862911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 SALEM RD",
            "address_2": "STE 210",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720344800",
            "telephone_number": "501-932-0050",
            "fax_number": "501-832-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N DREW ST",
            "city": "STAR CITY",
            "state": "AR",
            "postal_code": "716675728",
            "telephone_number": "870-628-4144",
            "fax_number": "870-628-4891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GNC OF STAR CITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "501-932-0050"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119704311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gardner Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• East Point Health Opco LLC (East Point Health and Rehab)
• Jeri Lou Farabough, SLP
• Gardner Health, LLC (Gardner Nursing Center)
• Gardner Nursing Opco LLC (Gardner Nursing and Rehabilitation)
• Skylar Michelle Garner, DDS
• Kenneth A Heiles, D.O.
• Toni L Hobbs, BS, MHPP
• Soundra M Hogg
• Chasity Nichole Hooks, RN
• Jefferson Hospital Association, Inc

• Skilled Nursing Facility in Star City, AR
• Providers in Star City, 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 Jul 17, 2008; 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.