Gosnell Therapy and Living Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

927 Issued in AR

Legal business name

GOSNELL THERAPY AND LIVING CENTER, INC.

Practice address

700 Moody St
Gosnell, AR 72319-6110

Phone

(870) 532-5550

Fax

(870) 532-5600

NPI assigned

Sep 11, 2010

Last updated

Apr 1, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bobby Hargis

Title

President

Phone

(870) 368-4050

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1284163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1851608830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 506",
            "city": "MELBOURNE",
            "state": "AR",
            "postal_code": "725560506",
            "telephone_number": "870-368-4050",
            "fax_number": "870-368-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MOODY ST",
            "city": "GOSNELL",
            "state": "AR",
            "postal_code": "723196110",
            "telephone_number": "870-532-5550",
            "fax_number": "870-532-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOSNELL THERAPY AND LIVING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-11",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "HARGIS",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-368-4050"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182994311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Crockett
• GNNC, Inc (Gosnell Therapy and Living)
• Gosnell Drugs Inc.
• Gosnell Healthcare,Inc.
• Gosnell School District
• Whitney Johnson, PMHNP-BC
• Janet Mason, MSP CCC SLP L
• Brandon Glenn Michael, PHARM.D
• Tyson Wallace, PHARM. D.

• Skilled Nursing Facility in Gosnell, AR
• Providers in Gosnell, 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 Apr 1, 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.