St John'S Place of Arkansas, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

825 Issued in AR

Legal business name

ST JOHN'S PLACE OF ARKANSAS, LLC

Practice address

203 N Clifton St
Fordyce, AR 71742-3026

Phone

(870) 352-3625

Fax

(870) 352-5053

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Linda G. Scales

Title

Administrator

Phone

(870) 352-3625

Specialties & licenses 1

Addresses

Other names 1

• Dallas County Nursing Home Doing business as

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962622506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 N CLIFTON ST",
            "city": "FORDYCE",
            "state": "AR",
            "postal_code": "717423026",
            "telephone_number": "870-352-3625",
            "fax_number": "870-352-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N CLIFTON ST",
            "city": "FORDYCE",
            "state": "AR",
            "postal_code": "717423026",
            "telephone_number": "870-352-3625",
            "fax_number": "870-352-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHN'S PLACE OF ARKANSAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCALES",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "870-352-3625"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dallas County Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Skin NP by Dawn Hopper PLLC
• Don R Smith Jr.
• South Arkansas Regional Health Center
• Cindy Sparks, MHPP
• St John'S Place of Arkansas, LLC
• St. John'S Place of Arkansas
• State of Arkansas
• Charles Stovall, MHPP
• Chelsea Stover, CF-SL:P
• John Marcus Summers, P.D.

• Skilled Nursing Facility in Fordyce, AR
• Providers in Fordyce, 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 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.