Benton Senior Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BENTON SENIOR LIVING, LLC

Practice address

1180 Highway 71 S
Mena, AR 71953-3908

Phone

(501) 276-8883

NPI assigned

Aug 5, 2014

Last updated

Aug 5, 2014By 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

Mr. Michael Shepard

Title

Manager

Phone

(501) 276-8883

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407196800000",
    "number": "1639588585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 HIGHWAY 71 S",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719533908",
            "telephone_number": "501-276-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 HIGHWAY 71 S",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719533908",
            "telephone_number": "501-276-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENTON SENIOR LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-05",
        "last_updated": "2014-08-05",
        "status": "A",
        "authorized_official_last_name": "SHEPARD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "501-276-8883",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Edwin Barham, PHARMD
• Terri Lynn Barrada, APRN
• Olivia Bayne, APRN FNP-C
• Ronald William Beckel Jr., M.D.
• Bill J Bell, O.D.
• Mary A Birtcher, LCSW
• Boone Home Healthcare, Inc. (Boone Home Medical Equipment)
• Brandi Titsworth LPC, PLLC
• Jeremiah Brewer, MHPP
• Ocean Miranda Brewer, APRN-CNP

• Assisted Living Facility in Mena, AR
• Providers in Mena, 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 Aug 5, 2014; 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.