Gardner Health, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

699 Issued in AR

Legal business name

GARDNER HEALTH, LLC

Doing business as

Gardner Nursing Center

Practice address

702 N Drew St
Star City, AR 71667-5728

Phone

(870) 628-4144

Fax

(870) 628-4891

NPI assigned

Feb 7, 2006

Organization subpart

No

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

Authorized official

Name

Sandy Pearl

Title

Billing Specialist

Phone

(501) 548-0150

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gardner Nursing Center Doing business as

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1861464463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 N DREW ST",
            "city": "STAR CITY",
            "state": "AR",
            "postal_code": "716675728",
            "telephone_number": "870-628-4144",
            "fax_number": "870-628-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N DREW ST",
            "city": "STAR CITY",
            "state": "AR",
            "postal_code": "716675728",
            "telephone_number": "870-628-4144",
            "fax_number": "870-628-4891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDNER HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "PEARL",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "501-548-0150"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158842311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gardner Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexander Black, BSW
• Haley Dianne Burns
• Jake Edmund Cash, PHARM.D.
• East Point Health Opco LLC (East Point Health and Rehab)
• Jeri Lou Farabough, SLP
• Gardner Nursing Opco LLC (Gardner Nursing and Rehabilitation)
• Skylar Michelle Garner, DDS
• GNC of Star City Inc (Gardner Nursing Center)
• Kenneth A Heiles, D.O.
• Toni L Hobbs, BS, MHPP

• Skilled Nursing Facility in Star City, AR
• Providers in Star City, 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 Dec 6, 2007; 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.