Dallas County Nursing Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

659 Issued in AR

Legal business name

DALLAS COUNTY NURSING HOME

Practice address

203 N Clifton St
Fordyce, AR 71742-3026

Phone

(870) 352-3625

Fax

(870) 352-5053

NPI assigned

Aug 2, 2005

Last updated

Aug 22, 2020By 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

Mrs. Kathy Brookshire

Title

Owner

Phone

(870) 352-3625

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992706824",
    "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": "DALLAS COUNTY NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROOKSHIRE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-352-3625",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dallas County Health System Inc (Dallas County Medical Center)
• Dallas County Health System Inc (Nutt Walley Clinic)
• Dallas County Health System Inc (Dallas County Medical Center)
• Dallas County Health System Inc (Dallas County Medical Center)
• Dallas County Medical Center Home Care, LLC (Elite Home Health)
• Samantha Nicole Daniell, OTR/L
• Harry R Denison, O.D.
• Brandy Meleia Dixon, COTA/L
• Woodrow Dixon, PHARMD
• Tasha Donahou, MHPP

• 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.