Organization Active NPI

Osceola Therapy and Living Center, Inc.

  • Skilled Nursing Facility
  • Osceola, AR
National Provider Identifier
1639471451
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
928 Issued in AR
Legal business name
OSCEOLA THERAPY AND LIVING CENTER, INC.
Practice address
287 S Country Club Rd
Osceola, AR 72370-6047
Phone
(870) 563-3201
Fax
(870) 563-3797
NPI assigned
Nov 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

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

Authorized official

Name
Bobby Hargis
Title
President
Phone
(870) 291-8804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 928 AR Primary

Addresses

Primary practice location

287 S Country Club Rd
Osceola, AR 72370-6047

Mailing address

PO Box 506
Melbourne, AR 72556-0506
Phone (870) 368-4050

Other identifiers 1

IdentifierTypeStateIssuer
182993311MedicaidAR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291075200000",
    "number": "1639471451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 506",
            "city": "MELBOURNE",
            "state": "AR",
            "postal_code": "725560506",
            "telephone_number": "870-368-4050",
            "fax_number": "870-368-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 S COUNTRY CLUB RD",
            "city": "OSCEOLA",
            "state": "AR",
            "postal_code": "723706047",
            "telephone_number": "870-563-3201",
            "fax_number": "870-563-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSCEOLA THERAPY AND LIVING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-30",
        "last_updated": "2010-11-30",
        "status": "A",
        "authorized_official_last_name": "HARGIS",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-291-8804"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182993311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Osceola, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.