Arkansas Elder Outreach of Little Rock, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

736 Issued in AR

Legal business name

ARKANSAS ELDER OUTREACH OF LITTLE ROCK, INC.

Doing business as

Three Rivers Nursing Center

Practice address

33904 Highway 63
Marked Tree, AR 72365

Phone

(870) 358-2432

Fax

(870) 358-4582

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Darvin C McMorris

Title

Agent/Authorized Official

Phone

(225) 769-7960

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Three Rivers Nursing Center Doing business as

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424563200000",
    "number": "1740368174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33904 HIGHWAY 63",
            "city": "MARKED TREE",
            "state": "AR",
            "postal_code": "72365",
            "telephone_number": "870-358-2432",
            "fax_number": "870-358-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33904 HIGHWAY 63",
            "city": "MARKED TREE",
            "state": "AR",
            "postal_code": "72365",
            "telephone_number": "870-358-2432",
            "fax_number": "870-358-4582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS ELDER OUTREACH OF LITTLE ROCK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2015-02-22",
        "status": "A",
        "authorized_official_last_name": "MCMORRIS",
        "authorized_official_first_name": "DARVIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "AGENT/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "225-769-7960",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119745311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Three Rivers Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Baylee Craft, APRN, FNP-BC

• Skilled Nursing Facility in Marked Tree, AR
• Providers in Marked Tree, 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 Feb 22, 2015; 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.