Organization Active NPI

Boeckmann and Sons

  • Adult Care Home Facility
  • Forrest City, AR
National Provider Identifier
1942344288
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
BOECKMANN AND SONS
Practice address
1803 Lindauer Rd
Forrest City, AR 72335-2407
Phone
(870) 494-3911
Fax
(870) 494-3966
NPI assigned
Feb 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Melissa Dameron
Title
Office Clerk
Phone
(870) 494-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

1803 Lindauer Rd
Forrest City, AR 72335-2407

Mailing address

112 S Izard St
Forrest City, AR 72335-3810
Phone (870) 494-4600

National Provider Directory

National Provider Directory

Locations

1803 Lindauer Rd
Forrest City, AR 72335
Phone (870) 494-3911

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942344288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S IZARD ST",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723353810",
            "telephone_number": "870-494-4600",
            "fax_number": "870-494-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 LINDAUER RD",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723352407",
            "telephone_number": "870-494-3911",
            "fax_number": "870-494-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOECKMANN AND SONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAMERON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OFFICE CLERK",
        "authorized_official_telephone_number": "870-494-4600",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forrest City, AR

Sources for this page

  • 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.