Clarksville Retirement Center

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

242 Issued in AR

Legal business name

CLARKSVILLE RETIREMENT CENTER

Practice address

311 S Central St
Clarksville, AR 72830-3601

Phone

(479) 452-4949

Fax

(179) 478-8580

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Linda Short

Title

Owner

Phone

(479) 452-4949

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841407681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 S CENTRAL ST",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728303601",
            "telephone_number": "479-452-4949",
            "fax_number": "179-478-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S CENTRAL ST",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728303601",
            "telephone_number": "479-452-4949",
            "fax_number": "179-478-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSVILLE RETIREMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-452-4949",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "AR",
            "license": "242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarksville Health & Rehab,LLC
• Clarksville Medical Group, P.a.
• Clarksville Medical Group, P.a.
• Clarksville Medical Group, P.a.
• Clarksville Nursing and Rehab, LLC
• Emily Coffman, PHARMD
• Sahara Collins
• Sherri Selma Collins, MSN, APN, FNP
• Jessica Connerly
• Consolidated School District No 17

• Adult Care Home Facility in Clarksville, AR
• Providers in Clarksville, AR by specialty
• Adult Care Home 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.