Hillsboro Manor Nursing Home, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

545 Issued in AR

Legal business name

HILLSBORO MANOR NURSING HOME, INC.

Practice address

1700 E Short Hillsboro St
El Dorado, AR 71730-6458

Phone

(870) 862-5124

Fax

(870) 881-8053

NPI assigned

Jan 7, 2014

Organization subpart

No

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

Authorized official

Name

Arne Abel

Title

Administrator

Phone

(870) 862-5124

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1700208014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E SHORT HILLSBORO ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717306458",
            "telephone_number": "870-862-5124",
            "fax_number": "870-881-8053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E SHORT HILLSBORO ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717306458",
            "telephone_number": "870-862-5124",
            "fax_number": "870-881-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSBORO MANOR NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-07",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "ABEL",
        "authorized_official_first_name": "ARNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "870-862-5124"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wandena Lasha' Hicks, MHPP
• Donna M Hill
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• Johnnie Hinton III, M.D.
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• All providers in El Dorado, AR
• Skilled Nursing Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.