Piggott Assisted Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PIGGOTT ASSISTED LIVING, LLC

Practice address

1200 Gordon Duckworth Dr
Piggott, AR 72454-1916

Phone

(870) 598-2190

NPI assigned

Oct 26, 2023

Last updated

Oct 26, 2023By 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

Shimon Webster

Title

Authorized Official

Phone

(870) 598-2190

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1619749207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8131 MONTICELLO AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763325",
            "telephone_number": "773-945-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 GORDON DUCKWORTH DR",
            "city": "PIGGOTT",
            "state": "AR",
            "postal_code": "724541916",
            "telephone_number": "870-598-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIGGOTT ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "WEBSTER",
        "authorized_official_first_name": "SHIMON",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "870-598-2190"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Piggott, AR
• Providers in Piggott, 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 Oct 26, 2023; 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.