River Lodge Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

049 Issued in AR

Legal business name

RIVER LODGE ASSISTED LIVING LLC

Practice address

117 Riverlodge Drive
Mountain Home, AR 72653

Phone

(870) 607-0902

Fax

(870) 607-0905

NPI assigned

May 12, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Todd Parker Hightower

Title

Owner

Phone

(479) 471-9797

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305158400000",
    "number": "1912299660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 LAKEWOOD RD",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729568120",
            "telephone_number": "479-471-9797",
            "fax_number": "479-471-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 RIVERLODGE DRIVE",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "72653",
            "telephone_number": "870-607-0902",
            "fax_number": "870-607-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER LODGE ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-12",
        "last_updated": "2011-05-12",
        "status": "A",
        "authorized_official_last_name": "HIGHTOWER",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "PARKER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-471-9797",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AR",
            "license": "049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185308794",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Assisted Living Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.