Eldercare of Arkansas III, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

440 Issued in AR

Legal business name

ELDERCARE OF ARKANSAS III, INC.

Practice address

1306 S. Donaghey
Conway, AR 72034

Phone

(501) 327-3030

Fax

(501) 327-3034

NPI assigned

Mar 21, 2018

Organization subpart

No

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

Authorized official

Name

Mark Lierman

Title

Ceo

Phone

(636) 477-3280

Specialties & licenses 1

Addresses

Other names 1

• StoneBridge of Conway Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521590400000",
    "number": "1972007292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 S. OLD HIGHWAY 94",
            "address_2": "SUITE 104",
            "city": "ST. CHARLES",
            "state": "MO",
            "postal_code": "63303",
            "telephone_number": "636-477-3280",
            "fax_number": "636-477-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 S. DONAGHEY",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "72034",
            "telephone_number": "501-327-3030",
            "fax_number": "501-327-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERCARE OF ARKANSAS III, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-21",
        "last_updated": "2018-03-21",
        "status": "A",
        "authorized_official_last_name": "LIERMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "636-477-3280"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AR",
            "license": "440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "StoneBridge of Conway",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaiden Edwards
• Jennifer M. Edwards, ST
• Nichole Edwards
• Rashawn K Edwards, RECOVERY ASSISTANT
• Betsy Anna Efird, APN
• Laney Rain Eldridge
• Anne Elgen, RECOVERY ASSISTANT
• Elite Men'S Health of Conway
• Alecia Elkins, PT
• Holly Elledge, MS CCC-SLP

• Assisted Living Facility in Conway, AR
• Providers in Conway, 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 Mar 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.