NPIMap

Organization Active NPI

Cmnrc, Inc.

Doing business as Care Manor

  • Skilled Nursing Facility
  • Mountain Home, AR
National Provider Identifier
1609864537
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
757 Issued in AR
Legal business name
CMNRC, INC.
Doing business as
Care Manor
Practice address
804 Burnett Dr
Mountain Home, AR 72653-2939
Phone
(870) 424-5030
Fax
(870) 368-4054
NPI assigned
Oct 13, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Johniece Taylor
Title
Sec
Phone
(870) 424-5030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 757 AR Primary

Addresses

Primary practice location

804 Burnett Dr
Mountain Home, AR 72653-2939

Mailing address

PO Box 918
Melbourne, AR 72556-0918
Phone (870) 424-5030

Other names 1

  • Care Manor Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609864537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 918",
            "city": "MELBOURNE",
            "state": "AR",
            "postal_code": "725560918",
            "telephone_number": "870-424-5030",
            "fax_number": "870-368-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 BURNETT DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532939",
            "telephone_number": "870-424-5030",
            "fax_number": "870-368-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMNRC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JOHNIECE",
        "authorized_official_title_or_position": "SEC",
        "authorized_official_telephone_number": "870-424-5030"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountain Home, AR

Sources for this page

  • 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.