PEACHTREE VILLAGE AT HOLIDAY ISLAND (NPI# 1043743768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043743768 |
| Entity Type | Organization |
| Organization Name | PEACHTREE VILLAGE AT HOLIDAY ISLAND |
| Practice Address |
5 Park Dr Holiday Island AR 72631-9388 |
| Practice Telephone | 4792539933 |
| Mailing Telephone | 4792539933 |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-10 |
| Authorized Official Name | JANET L. NORDLIE (OPERATING MANAGER) |
| Authorized Official Telephone | 7192003049 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 002 | AR | Nursing & Custodial Care Facilities |
| Street Address |
5 PARK DR |
| City | HOLIDAY ISLAND |
| State | AR |
| Zip Code | 72631-9388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427444124 | Holiday Island Operations, LLC | Assisted Living Facility | 89 Hillside Drive, Holiday Island, AR 72631 | 2015-04-09 |
| 1003916420 | Eureka Springs Hospital | Home Health | 6 Forest Park, Suite D & E, Holiday Island, AR 72631 | 2006-09-25 |
| 1881171551 | Air Evac Ems, Inc. | Ambulance | 1 Park Dr Ste A, Holiday Island, AR 72631 | 2018-07-25 |
| 1881795789 | Eureka Springs Hospital | Hospice Care, Community Based | 6 Forest Park, Suite D & E, Holiday Island, AR 72631 | 2006-09-26 |
| 1942357405 | Green Acre Lodge Inc. | Assisted Living Facility | 89 Hillside Dr, Holiday Island, AR 72631-4618 | 2007-01-05 |
| 1518282391 | Ptworks,p.a. | Physical Therapist | 18 Green Meadow Ln Apt D, Holiday Island, AR 72631-4651 | 2010-04-05 |
| 1033737762 | Retreat At Skyridge | Substance Abuse Rehabilitation Facility | 637 County Road 111, Eureka Springs, AR 72631-9030 | 2020-07-09 |
| 1588980437 | Edwin Wood White | Psychiatry & Neurology | 202 Ridge Rd, Eureka Springs, AR 72631-9052 | 2010-04-18 |
| 1023367752 | Ruthann Marie Tucker | Nurse Practitioner | 161 Hillcrest Rd, Eureka Springs, AR 72631-9080 | 2012-09-10 |
| 1538195508 | Mercy Clinic Springfield Communities | Family Medicine | 1 Park Dr, Suite C, Holiday Island, AR 72631-9216 | 2006-06-23 |
| Find all providers in zip 72631 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427444124 | Holiday Island Operations, LLC | Assisted Living Facility | 89 Hillside Drive, Holiday Island, AR 72631 | 2015-04-09 |
| 1942357405 | Green Acre Lodge Inc. | Assisted Living Facility | 89 Hillside Dr, Holiday Island, AR 72631-4618 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518517127 | Peachtree Village, LLC | Assisted Living Facility | 1500 Fresno St, Fort Smith, AR 72901-7023 | 2019-09-16 |
| 1427539600 | Peachtree Village of Farmington, LLC | Assisted Living Facility | 55 W Rainsong St, Farmington, AR 72730-8635 | 2018-08-24 |
| 1437654670 | Eldercare of Arkansas V, Inc. | Assisted Living Facility | 601 E. Mountain Springs Road, Cabot, AR 72023 | 2018-03-29 |
| 1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
| 1750897039 | Green Acre Easy Lliving | Assisted Living Facility | 2407 W Oak St, Rogers, AR 72758-3943 | 2017-12-21 |
| 1962912626 | Lincolin Co Assisted Living | Assisted Living Facility | 142 Teva Dr, Star City, AR 71667-4253 | 2017-10-09 |
| 1740645456 | Providence PCc of Springdale | Assisted Living Facility | 2175 Orchard St, Springdale, AR 72764-6357 | 2015-12-22 |
| 1649640236 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 200 Good Samaritan Dr, Mountain Home, AR 72653-9325 | 2015-09-25 |
| 1639588585 | Benton Senior Living, LLC | Assisted Living Facility | 1180 Highway 71 S, Mena, AR 71953-3908 | 2014-08-05 |
| 1558777953 | Fordyce Assisted Living Inc | Assisted Living Facility | 1718 Industrial Dr, Fordyce, AR 71074 | 2014-07-07 |
| Find all providers with the same taxonomy | ||||
| City | HOLIDAY ISLAND |
| Zip Code | 72631 |
Please comment or provide details below to improve the information on PEACHTREE VILLAGE AT HOLIDAY ISLAND.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.