Senior Care Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

071 Issued in AR

Legal business name

SENIOR CARE INC

Practice address

101 Cynthia St
Judsonia, AR 72081

Phone

(501) 729-3823

Fax

(501) 729-3621

NPI assigned

Apr 18, 2006

Organization subpart

No

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

Authorized official

Name

Joey Martin Wiggins

Title

Vice President

Phone

(501) 305-3153

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Oakdale Nursing Facility Doing business as

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1760447577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 HAWKINS DR",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "72143",
            "telephone_number": "501-305-3153",
            "fax_number": "501-279-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CYNTHIA ST",
            "city": "JUDSONIA",
            "state": "AR",
            "postal_code": "72081",
            "telephone_number": "501-729-3823",
            "fax_number": "501-729-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "WIGGINS",
        "authorized_official_first_name": "JOEY",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "501-305-3153"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161964311",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDIPAK",
            "identifier": "015418",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109468311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oakdale Nursing Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mallory Nicole Prior, MS, CCC-SLP
• Roger Brian Robertson
• Anna Ruger, LAC
• Ryan Russ, LAC
• Senior Care Inc
• Jimmy Shaw
• That Certain Look, Inc.
• Elizabeth D Thompson, M.S., CCC-SLP
• Pamela Marie Townsend-Bell, LCSW
• Telah Whitbey

• Skilled Nursing Facility in Judsonia, AR
• Providers in Judsonia, 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 Apr 27, 2009; 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.