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GRAND MANOR
NPI 1508251786
Clinic/Center in Monticello, AR

Active since April 03, 2015
1960 HIGHWAY 425 N, MONTICELLO, AR 71655(870) 412-4400(870) 412-4506 Get Directions Write a Review

NPPES record last updated: April 3, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grand Manor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAND MANOR (NPI 1508251786) is a healthcare organization registered as a clinic/center in Monticello, Arkansas and active in the NPI registry since April 2015. The organization lists Jennifer L Helms, Secretary, as its authorized official.

NPPES Registry Identity

NPI1508251786
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameGRAND MANOR
Location Address1960 HIGHWAY 425 NMonticello, AR 71655-8862
Mailing Address1960 Highway 425 NMonticello, AR 71655-8862 · (870) 412-4400 · Fax (870) 412-4506
Phone(870) 412-4400
Fax(870) 412-4506
Organization SubpartNo
Authorized OfficialJennifer L HelmsSecretary · (870) 412-4400
Enumeration DateApril 3, 2015
✔ NPI 1508251786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in AR · 106
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1960 HIGHWAY 425 N, Monticello, AR 71655
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Other Identifiers 1

Medicaid206724794AR

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHELLEY SONTAG HARRISON LCSW
Social Worker (Clinical)
1960 HIGHWAY 425 N
MONTICELLO, AR 71655
Drew County (870) 723-7627
AKIN AIR
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
1960 HIGHWAY 425 N
MONTICELLO, AR 71655
Drew County (870) 723-3711
FAITH LEAPS LLC
Social Worker (Clinical)
1960 HIGHWAY 425 N
MONTICELLO, AR 71655
Drew County (870) 723-7627

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grand Manor's NPI number?

The NPI number for Grand Manor is 1508251786. It was assigned to this organization in the NPPES registry on April 3, 2015.

Where is Grand Manor located?

Grand Manor is located at 1960 Highway 425 N, Monticello, AR 71655. The listed phone number is (870) 412-4400.

What is Grand Manor's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Grand Manor was last updated on April 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.