Active NPI
Gardens of Cypress Ridge Inc.
- Assisted Living Facility
- Bryant, AR
National Provider Identifier
1649055740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- GARDENS OF CYPRESS RIDGE INC.
- Practice address
- 4216 Fox Ridge Dr
Bryant, AR 72022-8308 - Phone
- (501) 847-3400
- Fax
- (479) 968-1673
- NPI assigned
- Aug 28, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rodney Thomason
- Title
- Ceo
- Phone
- (501) 406-6180
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
4216 Fox Ridge Dr
Bryant, AR 72022-8308
Mailing address
PO Box 9178
Russellville, AR 72811-9178
Phone (800) 824-4094
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693180800000",
"number": "1649055740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9178",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728119178",
"telephone_number": "800-824-4094",
"fax_number": "479-968-1673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4216 FOX RIDGE DR",
"city": "BRYANT",
"state": "AR",
"postal_code": "720228308",
"telephone_number": "501-847-3400",
"fax_number": "479-968-1673"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARDENS OF CYPRESS RIDGE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-28",
"last_updated": "2023-08-28",
"certification_date": "2023-08-28",
"status": "A",
"authorized_official_last_name": "THOMASON",
"authorized_official_first_name": "RODNEY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "501-406-6180"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bryant, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.