The Manor at Benton, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

THE MANOR AT BENTON, LLC

Practice address

4727 Boone Rd
Bryant, AR 72022-6224

Phone

(501) 316-4600

NPI assigned

May 4, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Scott Kingsborough

Title

Executive Vice President

Phone

(501) 690-4900

Specialties & licenses 1

Addresses

Other names 1

• The Manor at Benton Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1700469145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 BOONE RD",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720226224",
            "telephone_number": "501-690-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727 BOONE RD",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720226224",
            "telephone_number": "501-316-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MANOR AT BENTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "KINGSBOROUGH",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "501-690-4900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Manor at Benton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Bryant, AR
• Providers in Bryant, 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 May 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.