St. Andrews Place, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

788 Issued in AR

Legal business name

ST. ANDREWS PLACE, INC.

Practice address

3501 College Ave
Conway, AR 72034-7281

Phone

(501) 329-9879

Fax

(501) 329-6673

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Herschel Burt Glenn

Title

Controller

Phone

(501) 329-9879

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821028556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 COLLEGE AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720347281",
            "telephone_number": "501-329-9879",
            "fax_number": "501-329-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 COLLEGE AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720347281",
            "telephone_number": "501-329-9879",
            "fax_number": "501-329-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. ANDREWS PLACE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "HERSCHEL",
        "authorized_official_middle_name": "BURT",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "501-329-9879"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Nathaniel Phelps Spurgers, MS, LPC, NCC, TA
• Leslie Spurgers
• Timothy Scott Spurlin, MNSC, APRN, PMHNP-BC
• Haley Squires
• St. Andrews Health Services
• Amy Lea Stacks
• John E Stafford, PH D
• Kelly A Staley, MD
• Kimberly Staley, MS CCC-SLP
• Camden Stallard

• Skilled Nursing Facility in Conway, AR
• Providers in Conway, 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 22, 2020; 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.