RETIREMENT CENTER OF MORRILTON
NPI 1568640589
Intermediate Care Facility, Mental Illness in Morrilton, AR

Active since January 31, 2008
1209 S BRIDGE ST, MORRILTON, AR 72110(501) 354-5003(501) 354-1399 Get Directions Write a Review

NPPES record last updated: January 31, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Intermediate Care Facility, Mental Illne...

About RETIREMENT CENTER OF MORRILTON

This page provides the complete NPI Profile along with additional information for Retirement Center Of Morrilton, a provider established in Morrilton, Arkansas operating as a Intermediate Care Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1568640589 assigned on January 2008. The practitioner's primary taxonomy code is 310500000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Retirement Center Of Morrilton. The authorized official of this NPI record is Mr. Edward V Holman (Owner)

NPI
1568640589 Verify this NPI
Provider Legal Name
SOUTH BRIDGE, LLC
Other Organization Name
RETIREMENT CENTER OF MORRILTON
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1209 S BRIDGE ST MORRILTON, AR 72110
Location Phone
(501) 354-5003
Location Fax
(501) 354-1399
Mailing Address
PO BOX 56678 LITTLE ROCK, AR 72215
Mailing Phone
(501) 224-4173
Mailing Fax
(501) 217-0445
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-31-2008
Last Update Date
01-31-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Intermediate Care Facility, Mental Illness

Taxonomy Code
310500000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. EDWARD V HOLMAN

Authorized Official Title
OWNER
Authorized Official Phone
(501) 224-4173

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568640589, enumerated as an "organization" on January 31, 2008.

The provider is located at 1209 S BRIDGE ST MORRILTON, AR 72110 and the phone number is (501) 354-5003.

Intermediate Care Facility, Mental Illness with taxonomy code 310500000X.