Beverly Enterprises - Arkansas, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BEVERLY ENTERPRISES - ARKANSAS, INC.

Practice address

228 Pointer TRL W
Van Buren, AR 72956-2266

Phone

(479) 474-5276

NPI assigned

May 24, 2006

Organization subpart

Yes

Parent organization

BEVERLY HEALTH AND REHABILITATION SERVICES, INC.As reported in NPPES

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

Authorized official

Name

Holly A Rasmussen-Jones

Title

Secretary

Phone

(479) 201-4835

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Golden LivingCenter - Van Buren Doing business as

Part of

Pharmacy Corp of America

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1790730075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 POINTER TRL W",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729562266",
            "telephone_number": "479-474-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 POINTER TRL W",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729562266",
            "telephone_number": "479-474-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY ENTERPRISES - ARKANSAS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEVERLY HEALTH AND REHABILITATION SERVICES, INC.",
        "enumeration_date": "2006-05-24",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "RASMUSSEN-JONES",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "479-201-4835"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109137311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden LivingCenter - Van Buren",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shaterra Belcher
• Theresa Bell, LPC
• Madeline Mae Michelle Bennett
• Allison Nicole Bergstrom
• Bethel Burris Oliver PLLC
• Ashley Beyerle
• Bill Pickard, DDS, Ms, PA
• Billy C Criswell Inc
• Billy C Criswell Inc
• Billy J Graham

• Skilled Nursing Facility in Van Buren, AR
• Providers in Van Buren, 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 Aug 26, 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.