Jonesboro Holdings LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1094 Issued in AR

Legal business name

JONESBORO HOLDINGS LLC

Doing business as

Jonesboro Health and Rehab

Practice address

1705 Latourette LN
Jonesboro, AR 72404-0797

Phone

(870) 738-9235

Fax

(870) 931-0093

NPI assigned

Nov 23, 2015

Last updated

Feb 5, 2016By 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

Joseph Schwartz

Title

Manager

Phone

(201) 635-1195

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• JONESBORO HEALTH AND REHAB Doing business as

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454630400000",
    "number": "1750755195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 LATOURETTE LN",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724040797",
            "telephone_number": "870-738-9235",
            "fax_number": "870-931-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 LATOURETTE LN",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724040797",
            "telephone_number": "870-738-9235",
            "fax_number": "870-931-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONESBORO HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-23",
        "last_updated": "2016-02-05",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-635-1195"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "1094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211201311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JONESBORO HEALTH AND REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jonesboro Hearing Aid Serv.
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• Jonesboro Public Schools
• Jonesboro Public Schools

• Skilled Nursing Facility in Jonesboro, AR
• Providers in Jonesboro, 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 5, 2016; 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.