NPIMap

Organization Active NPI

The Gardens at Osage Terrace

  • Assisted Living Facility
  • Bentonville, AR
National Provider Identifier
1700816147
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
001 Issued in AR
Legal business name
THE GARDENS AT OSAGE TERRACE
Practice address
3317 SE L St
Bentonville, AR 72712-3793
Phone
(479) 254-8759
Fax
(479) 986-3469
NPI assigned
Jul 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jon Vitiello
Title
Chief Financial Officer
Phone
(479) 936-2907

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 001 AR Primary

Addresses

Primary practice location

3317 SE L St
Bentonville, AR 72712-3793

Mailing address

3317 SE L St
Bentonville, AR 72712-3793
Phone (479) 254-8759

National Provider Directory

National Provider Directory
Tax ID family
Jeff M Audibert6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700816147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 SE L ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123793",
            "telephone_number": "479-254-8759",
            "fax_number": "479-986-3469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 SE L ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123793",
            "telephone_number": "479-254-8759",
            "fax_number": "479-986-3469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GARDENS AT OSAGE TERRACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VITIELLO",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "479-936-2907",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AR",
            "license": "001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.