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

Last updated

Jan 12, 2021By 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

John Ponthie

Title

Member

Phone

(318) 443-8167

Specialties & licenses 1

Addresses

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

{
    "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 (El Dorado School District)
• El Dorado Rehabilitation Services, Inc
• El Dorado Wellness Center LLC
• El Dorado Wellness Center PLLC
• Elder House Adult Day Care Center (Complete Home Care, inc.)
• Elder House Adult Day Care Center
• Elder House Adult Day Care Center (Complete Home Care)

• Skilled Nursing Facility in El Dorado, AR
• Providers in El Dorado, 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 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.