El Dorado SNF Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

EL DORADO SNF OPERATIONS LLC

Practice address

2415 W Hillsboro St
El Dorado, AR 71730-6815

Phone

(870) 875-1580

Fax

(870) 863-5092

NPI assigned

Jan 12, 2021

Organization subpart

No

Name

John Ponthie

Title

Member

Phone

(318) 443-8167

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 12, 2021.

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1760071062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 W HILLSBORO ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717306815",
            "telephone_number": "870-875-1580",
            "fax_number": "870-863-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 W HILLSBORO ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717306815",
            "telephone_number": "870-875-1580",
            "fax_number": "870-863-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL DORADO SNF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "PONTHIE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "318-443-8167"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• El Dorado Public Schools
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• Elder House Adult Day Care Center

• All providers in El Dorado, AR
• Skilled Nursing Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.