Izard Health, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

IZARD HEALTH, LLC

Doing business as

South Bend Nursing

Practice address

1203 S Bend Dr
Horseshoe Bend, AR 72512-3727

Phone

(870) 670-5134

Fax

(870) 670-4251

NPI assigned

Sep 19, 2019

Last updated

Sep 19, 2019By 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

Christopher F Brogdon

Title

Manager

Phone

(404) 386-9607

Specialties & licenses 1

Addresses

Other names 1

• South Bend Nursing Doing business as

Locations

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568851200000",
    "number": "1912557158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 S BEND DR",
            "city": "HORSESHOE BEND",
            "state": "AR",
            "postal_code": "725123727",
            "telephone_number": "870-670-5134",
            "fax_number": "870-670-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 S BEND DR",
            "city": "HORSESHOE BEND",
            "state": "AR",
            "postal_code": "725123727",
            "telephone_number": "870-670-5134",
            "fax_number": "870-670-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IZARD HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-09-19",
        "status": "A",
        "authorized_official_last_name": "BROGDON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "404-386-9607"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Bend Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Frank Howard Fowler, DOCTOR OF PHARMACY
• Laura Kimberly Gaskins, OTA
• Wendee Geiser
• Erin Goacher
• Byron Boyd Henley Jr., DR.
• Izard Operations, LLC (North Arkansas Life Care Center)
• Julie Ann Keefer, APRN
• Alexandra Kurtzweil, APRN
• Market Street Pharmacy
• Vicki D Martin, LPC

• Skilled Nursing Facility in Horseshoe Bend, AR
• Providers in Horseshoe Bend, 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 Sep 19, 2019; 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.