Organization Active NPI

Sandalwood Healthcare,LLC

  • Skilled Nursing Facility
  • Little Rock, AR
National Provider Identifier
1801181185
Registry record updated Jun 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
902 Issued in AR
Legal business name
SANDALWOOD HEALTHCARE,LLC
Practice address
2600 Barrow Rd
Little Rock, AR 72204-3335
Phone
(501) 224-4173
Fax
(501) 217-0445
NPI assigned
Jun 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2011

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

Authorized official

Name
Mrs. Cathy Lynn Parsons
Title
Director of Operations
Phone
(870) 530-3837

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 902 AR Primary

Addresses

Primary practice location

2600 Barrow Rd
Little Rock, AR 72204-3335

Mailing address

2600 Barrow Rd
Little Rock, AR 72204-3335
Phone (501) 224-4173

Other identifiers 1

IdentifierTypeStateIssuer
181499311MedicaidAR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308009600000",
    "number": "1801181185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 BARROW RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722043335",
            "telephone_number": "501-224-4173",
            "fax_number": "501-217-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 BARROW RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722043335",
            "telephone_number": "501-224-4173",
            "fax_number": "501-217-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDALWOOD HEALTHCARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-14",
        "last_updated": "2011-06-14",
        "status": "A",
        "authorized_official_last_name": "PARSONS",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "870-530-3837",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181499311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.