Monticello Healthcare Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MONTICELLO HEALTHCARE CENTER, LLC

Practice address

1052 Old Warren Rd
Monticello, AR 71655

Phone

(870) 367-0044

Fax

(870) 367-0030

NPI assigned

Aug 9, 2006

Last updated

Apr 17, 2008By 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

Ms. Jeanne Butterworth

Title

Cfo

Phone

(410) 527-4083

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1700896883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK RD",
            "address_2": "EXECUTIVE PLAZA III SUITE 503",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "21031",
            "telephone_number": "410-527-4083",
            "fax_number": "410-527-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 OLD WARREN RD",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "71655",
            "telephone_number": "870-367-0044",
            "fax_number": "870-367-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTICELLO HEALTHCARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "BUTTERWORTH",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "410-527-4083",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Carol Ann Moore, LCSW

• Skilled Nursing Facility in Monticello, AR
• Providers in Monticello, AR by specialty
• Skilled Nursing Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.