NORTH ARKANSAS RESIDENTIAL CARE FACILITY (WHITE RIVER HEALTH SYSTEM) NPI 1255414132

Custodial Care Facility in Horseshoe Bend, AR

NPI 1255414132 Organization Custodial Care Facility

About NORTH ARKANSAS RESIDENTIAL CARE FACILITY (WHITE RIVER HEALTH SYSTEM)

North Arkansas Residential Care Facility (white River Health System) is a provider established in Horseshoe Bend, Arkansas specializing in custodial care facility. The NPI number of North Arkansas Residential Care Facility (white River Health System) is 1255414132 and was assigned on October 2006. The practitioner's primary taxonomy code is 311Z00000X with license number 444 (AR). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as North Arkansas Residential Care Facility. The authorized official of this NPI record is Mr. David D Jarvis Lnha (Associate Administrator - Ltc Divis)

NPI

1255414132

Provider NameNORTH ARKANSAS RESIDENTIAL CARE FACILITY (WHITE RIVER HEALTH SYSTEM)
Provider Location Address1203 S BEND DR HORSESHOE BEND, AR 72512
Provider Mailing Address1203 S BEND DR HORSESHOE BEND, AR 72512
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameNORTH ARKANSAS RESIDENTIAL CARE FACILITY
Other Name TypeDoing Business As (3)
Enumeration Date10-23-2006
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code311Z00000X
ClassificationCustodial Care Facility
TypeNursing & Custodial Care Facilities
License No.444
License StateAR
Taxonomy DescriptionA facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.

Business Address

NORTH ARKANSAS RESIDENTIAL CARE FACILITY
1203 S BEND DR
HORSESHOE BEND, AR
ZIP 72512
Phone: (870) 670-4261
Fax: (870) 670-4271

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Mailing Address

NORTH ARKANSAS RESIDENTIAL CARE FACILITY
1203 S BEND DR
HORSESHOE BEND, AR
ZIP 72512
Phone: (870) 670-4261
Fax: (870) 670-4271



Authorized Official

Authorized Official NameMR. DAVID D JARVIS LNHA
Authorized Official TitleASSOCIATE ADMINISTRATOR - LTC DIVIS
Authorized Official Phone(870) 670-5690

Other Providers at the same location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1073701538CROWNPOINT HEALTH & REHAB CENTER
Organization
Skilled Nursing Facility (Nursing Care, Pediatric)1203 S BEND DR
HORSESHOE BEND, AR 72512
(870) 670-1534
1588108476CROWN POINT HEALTHCARE & REHABILITATION CENTER LLC
Organization
Skilled Nursing Facility1203 S BEND DR
HORSESHOE BEND, AR 72512
(870) 670-5134
1538674817DIAMOND COVE, LLC
Organization
Skilled Nursing Facility1203 S BEND DR
HORSESHOE BEND, AR 72512
(870) 670-5134
1912557158IZARD HEALTH, LLC
Organization
Skilled Nursing Facility1203 S BEND DR
HORSESHOE BEND, AR 72512
(870) 670-5134
1790863967WHITE RIVER HEALTH SYSTEM
Organization
Skilled Nursing Facility1203 S BEND DR
HORSESHOE BEND, AR 72512
(870) 670-5134
1124249909IZARD OPERATIONS, LLC
Organization
Skilled Nursing Facility1203 S BEND DR
HORSESHOE BEND, AR 72512
(870) 670-5134

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.