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STONEBRIDGE OF BLYTHEVILLE
NPI 1851714414
Assisted Living Facility in Blytheville, AR

Active since January 31, 2014CLIA 04D2163229 · Waiver
1401 E MOULTRIE DR, BLYTHEVILLE, AR 72315(636) 477-3280 Get Directions Write a Review

NPPES record last updated: January 31, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stonebridge Of Blytheville NPPES

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

STONEBRIDGE OF BLYTHEVILLE (NPI 1851714414) is a healthcare organization registered as an assisted living facility in Blytheville, Arkansas and active in the NPI registry since January 2014. The organization holds a CLIA Waiver certificate valid through March 10, 2027 and lists Deanna Bokel, Partner, as its authorized official.

NPPES Registry Identity

NPI1851714414
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameELDERCARE OF ARKANSAS INC.
Location Address1401 E MOULTRIE DRBlytheville, AR 72315-6855
Mailing Address2500 S Old Highway 94, Suite 104Saint Charles, MO 63303-5616 · (636) 477-3280
Phone(636) 477-3280
Organization SubpartNo
Authorized OfficialDeanna BokelPartner · (636) 477-3280
Enumeration DateJanuary 31, 2014
✔ NPI 1851714414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in AR · 498
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
1401 E MOULTRIE DR, Blytheville, AR 72315
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Other Names 1

Doing Business AsStonebridge Of Blytheville

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2163229

Stonebridge Of Blytheville Eldercare Of Arkansas · Blytheville, AR
Active · expires Mar 10, 2027
CLIA Number04D2163229
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 11, 2025
Certificate Expiration DateMarch 10, 2027
Laboratory DirectorStephen M. Black
Laboratory Phone(870) 838-0033
Laboratory LocationStonebridge Of Blytheville Eldercare Of Arkansas1401 E Moultrie Dr, Blytheville, AR 72315
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

ADVANCED PHYSICAL THERAPY, PLC
Clinic/Center (Physical Therapy)
1401 E MOULTRIE DR
BLYTHEVILLE, AR 72315
Mississippi County (870) 762-5000
AL BLYTHEVILLE OPERATIONS, LLC
Assisted Living Facility
1401 E MOULTRIE DR
BLYTHEVILLE, AR 72315
Mississippi County (870) 838-0033
MRS. JESSICA LYNN HURST P.T.
Physical Therapist
1401 E MOULTRIE DR
BLYTHEVILLE, AR 72315
Mississippi County (870) 762-5000
MRS. BRANDI LEIGH HURST P.T.
Physical Therapist
1401 E MOULTRIE DR
BLYTHEVILLE, AR 72315
Mississippi County (870) 762-5000

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 Eldercare Of Arkansas Inc.'s NPI number?

The NPI number for Eldercare Of Arkansas Inc. is 1851714414. It was assigned to this organization in the NPPES registry on January 31, 2014. The provider is doing business as Stonebridge Of Blytheville.

Where is Eldercare Of Arkansas Inc. located?

Eldercare Of Arkansas Inc. is located at 1401 E Moultrie Dr, Blytheville, AR 72315. The listed phone number is (636) 477-3280.

What is Eldercare Of Arkansas Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Eldercare Of Arkansas Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2163229) is associated with this NPI, valid through March 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eldercare Of Arkansas Inc. was last updated on January 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.