Mountain Home Al Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MOUNTAIN HOME AL OPCO LLC

Practice address

300 Good Samaritan Dr
Mountain Home, AR 72653-5813

Phone

(870) 706-6525

NPI assigned

Jul 26, 2024

Last updated

Sep 24, 2024By 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

Daniel Mandelbaum, CPA

Title

Cfo

Phone

(718) 570-6018

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1710716063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 SYLVAN AVE STE 202",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322512",
            "telephone_number": "718-570-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 GOOD SAMARITAN DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726535813",
            "telephone_number": "870-706-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN HOME AL OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "MANDELBAUM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "718-570-6018",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montera Health Arkansas LLC
• Hannah Montgomery, RBT
• Chad Steven Mooney, PHARM.D.
• Merwin B Moore, MD
• Pamela Morton, RN
• Mountain Home Christian Clinic, Inc
• Mountain Home Family Chiropractic
• Mountain Home Nephrology and Pulmonology Clinic
• Mountain Home Psychiatric Medicine, PA
• Mountain Home Radiology Consultants

• Assisted Living Facility in Mountain Home, AR
• Providers in Mountain Home, 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 Sep 24, 2024; 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.