Mhhnc, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1043 Issued in AR

Legal business name

MHHNC, INC

Doing business as

Hiram Shaddox Geriatric Health and Rehab

Practice address

620 Hospital Dr
Mountain Home, AR 72653-2915

Phone

(870) 425-6203

Fax

(870) 424-2227

NPI assigned

Mar 6, 2014

Last updated

Nov 10, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

EAGLE HEALTH SYSTEMS, INC.As reported in NPPES

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

Authorized official

Name

Brandon Adams

Title

President

Phone

(501) 932-0050

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• HIRAM SHADDOX GERIATRIC HEALTH AND REHAB Doing business as

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1790101368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 HOSPITAL DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532915",
            "telephone_number": "870-425-6203",
            "fax_number": "870-424-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 HOSPITAL DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532915",
            "telephone_number": "870-425-6203",
            "fax_number": "870-424-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MHHNC, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAGLE HEALTH SYSTEMS, INC.",
        "enumeration_date": "2014-03-06",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-932-0050"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "1043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202096311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HIRAM SHADDOX GERIATRIC HEALTH AND REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Dirst-Roberts PLLC
• Abigail Francis Melton
• Mental Health Diagnostics and Teleprescribing
• Merwin B Moore III MD
• Mhcnc, Inc. (Care Manor Nursing and Rehab)
• Mhpnc, Inc. (Hiram Shaddox Health and Rehab)
• Arlette Michalak
• Michelle M Godfrey PA
• Amy Midcap
• Dayna Jo Miller-Black, MCD, CCC-SLP

• Skilled Nursing Facility in Mountain Home, AR
• Providers in Mountain Home, 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 Nov 10, 2014; 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.