Green Acre Easy Lliving

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GREEN ACRE EASY LLIVING

Practice address

2407 W Oak St
Rogers, AR 72758-3943

Phone

(479) 631-1552

Fax

(479) 631-2797

NPI assigned

Dec 21, 2017

Organization subpart

No

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

Authorized official

Name

Malisa Alsip

Title

Administrator

Phone

(479) 631-1552

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513814400000",
    "number": "1750897039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 W OAK ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727583943",
            "telephone_number": "479-631-1552",
            "fax_number": "479-631-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 W OAK ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727583943",
            "telephone_number": "479-631-1552",
            "fax_number": "479-631-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN ACRE EASY LLIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-21",
        "last_updated": "2017-12-21",
        "status": "A",
        "authorized_official_last_name": "ALSIP",
        "authorized_official_first_name": "MALISA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "479-631-1552"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "222026794",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phebe Joy Granderson, CNM
• Grant J Fowler D.D.S.
• Patrick Michael Grant Jr.
• Kelly B Gray, LCSW
• Rachel Gray
• Brian Charles Green, OT
• Erin Caldwell Green
• Gary Lane Green, MS, LPC, LMFT
• Jill A Green
• Kaleigh Green

• Assisted Living Facility in Rogers, AR
• Providers in Rogers, 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 Dec 21, 2017; 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.