Cavhs

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

Organization subpart

No

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

Authorized official

Name

Susan Leigh Bradley, CTRS

Title

Cert. Recreation Therapist

Phone

(501) 257-3469

Specialties & licenses 2

Addresses

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": []
}

• Reyna Castellano
• Emma Lilia Cavazos
• Cavc LLC
• Cavhs
• Cavhs
• Cavs
• Centeral Arkansas Veterans Healthcare System
• Centers for Youth & Families
• Central Arkansas Area Agency on Aging, Inc
• Central Arkansas Cardiology

• Skilled Nursing Facility in North Little Rock, AR
• Providers in North Little Rock, 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 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.