NPIMap

Organization Active NPI

Cavhs

  • Skilled Nursing Facility
  • North Little Rock, AR
National Provider Identifier
1760627640
Registry record updated Dec 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
22745 Issued in NY
Legal business name
CAVHS
Practice address
2220 Ft Roots Drive
North Little Rock, AR 72114-1706
Phone
(501) 257-3469
NPI assigned
Dec 8, 2008
Last updated
Dec 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2008

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

Authorized official

Name
Susan Leigh Bradley, CTRSNPI 1205060506
Title
Cert. Recreation Therapist
Phone
(501) 257-3469

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X CERT. ID # 22745 NY
Skilled Nursing Facility 314000000X 22745 NY Primary

Addresses

Primary practice location

2220 Ft Roots Drive
North Little Rock, AR 72114-1706

Mailing address

2220 Ft. Roots Drive 116B NLR
North Little Rock, AR 72114-1706
Phone (501) 257-3469

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228694400000",
    "number": "1760627640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 FT. ROOTS DRIVE 116B NLR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721141706",
            "telephone_number": "501-257-3469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 FT ROOTS DRIVE",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721141706",
            "telephone_number": "501-257-3469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAVHS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-08",
        "last_updated": "2008-12-08",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "CERT. RECREATION THERAPIST",
        "authorized_official_telephone_number": "501-257-3469",
        "authorized_official_credential": "CTRS"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NY",
            "license": "CERT. ID # 22745",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "22745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; 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.