BEVERLY ENTERPRISES - ARKANSAS, INC. (NPI# 1124073408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124073408 |
| Entity Type | Organization |
| Organization Name | BEVERLY ENTERPRISES - ARKANSAS, INC. |
| Other Organization Name | BEVERLY LIVINGCENTER - MAGNOLIA |
| Practice Address |
301 Boundary St Magnolia AR 71753-3305 |
| Practice Telephone | 8702341361 |
| Mailing Telephone | 8702341361 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2007-10-29 |
| Authorized Official Name | MR. DAVID G. MERRELL (VICE PRESIDENT AND ASST SECRETARY) |
| Authorized Official Telephone | 4792014840 |
| Is Organization Subpart | Y |
| Parent Organization Name | BEVERLY HEALTH AND REHABILITATION SERVICES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Beverly LivingCenter - Magnolia | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386699668 | Beverly Enterprises - Arkansas, Inc. | Skilled Nursing Facility | 1800 Linwood Dr, Paragould, AR 72450-5817 | 2006-05-24 |
| 1790730075 | Beverly Enterprises - Arkansas, Inc. | Skilled Nursing Facility | 228 Pointer Trl W, Van Buren, AR 72956-2266 | 2006-05-24 |
| 1629023627 | Beverly Enterprises - Arkansas, Inc. | Skilled Nursing Facility | 525 Golf Links Rd, Hot Springs, AR 71901-7916 | 2006-05-24 |
| Street Address |
301 BOUNDARY ST |
| City | MAGNOLIA |
| State | AR |
| Zip Code | 71753-3305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043764004 | Ellana Stuart | Counselor | 301 Boundary St, Magnolia, AR 71753-3305 | 2016-08-08 |
| 1316395809 | Madison Ross | Counselor | 301 Boundary St, Magnolia, AR 71753-3305 | 2016-05-25 |
| 1609235407 | South Arkansas Youth Services | Community/Behavioral Health | 301 Boundary St, Magnolia, AR 71753-3305 | 2016-02-22 |
| 1083096382 | Ricodaro Rainey | Counselor | 301 Boundary St, Magnolia, AR 71753-3305 | 2015-06-23 |
| 1962804310 | Colby Dismuke | Counselor | 301 Boundary St, Magnolia, AR 71753-3305 | 2014-09-17 |
| 1841603487 | Sylvia Johnson | Counselor | 301 Boundary St, Magnolia, AR 71753-3305 | 2014-06-10 |
| 1689087488 | Carolyn Baker | Counselor | 301 Boundary St, Magnolia, AR 71753-3305 | 2014-06-09 |
| 1225387004 | Frank Garcia | Counselor | 301 Boundary St, South Arkansas Youth Services, Magnolia, AR 71753 | 2012-09-07 |
| 1578827291 | Amanda Pharr | Counselor | 301 Boundary St, Magnolia, AR 71753-3305 | 2012-06-27 |
| 1568725026 | Whitney D Ishmon | Counselor | 301 Boundary St, Magnolia, AR 71753-3305 | 2012-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851939862 | Kylie Nokes | Occupational Therapy Assistant | 1403 High School Drive, Magnolia, AR 71753 | 2019-12-20 |
| 1225510266 | Douglas Palmer | Specialist/Technologist | 100 E University St, Magnolia, AR 71753 | 2018-09-06 |
| 1568940781 | Alyssa Scholl | Specialist/Technologist | Msc 8800, Magnolia, AR 71753 | 2018-07-31 |
| 1881141950 | Yuichi Takizawa | Specialist/Technologist | 2212 Lacari Dr., Fox Creek Apt #a1, Magnolia, AR 71753 | 2016-09-07 |
| 1609322981 | Stephen Baldwin Jr. | Specialist/Technologist | 100 E University Msc 9202, Magnolia, AR 71753 | 2016-08-28 |
| 1760830038 | Deborah Ellis | Developmental Therapist | 301 West Calhoun, Magnolia, ARKANSAS 71753 | 2016-05-27 |
| 1053720144 | Alaina Atkinson-murphy | Counselor | 1705 E North St, Magnolia, AR 71753 | 2014-08-04 |
| 1467701250 | Charles P Story | Physical Therapy Assistant | 191 E Columbia # 25, Magnolia, AR 71753 | 2012-09-07 |
| 1043565542 | Magnolia Surgery Center, LLC | Clinic/Center | 25 Columbia Road 47, Magnolia, AR 71753 | 2012-07-20 |
| 1427288232 | Emily Loftin | Physical Therapy Assistant | 310 West Calhoun Road, Magnolia, AR 71753 | 2009-07-15 |
| Find all providers in zip 71753 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477881456 | Brianne Reed | Skilled Nursing Facility | 387 Glenn Forest Rd, Magnolia, DE 19962-2729 | 2009-12-02 |
| 1013905561 | Magnolia Healthcare Center LLC | Skilled Nursing Facility | 600 Lelia St, Magnolia, AR 71753-4035 | 2005-10-10 |
| 1811534977 | Magnolia Healthcare LLC | Skilled Nursing Facility | 2642 N Dudney Rd, Magnolia, AR 71753-4305 | 2019-12-06 |
| 1154803997 | Community Compassion Magnolia | Skilled Nursing Facility | 2642 N Dudney Rd, Magnolia, AR 71753-4305 | 2018-08-29 |
| 1568820843 | Silver Lining Rehab LLC | Skilled Nursing Facility | 2642 N Dudney Rd, Magnolia, AR 71753-4305 | 2016-02-02 |
| 1740654185 | Magnolia Health Holdings LLC | Skilled Nursing Facility | 2642 N Dudney Rd, Magnolia, AR 71753-4305 | 2015-11-23 |
| 1003216516 | Lampton Medical Asscoiates, P.a. | Skilled Nursing Facility | 111 Magnolia St, Magnolia, MS 39652-2825 | 2014-09-03 |
| 1255765046 | Magnolia Health and Rehab, LLC | Skilled Nursing Facility | 2642 N Dudney Rd, Magnolia, AR 71753-4305 | 2013-08-28 |
| 1174802888 | Wentworth LLC | Skilled Nursing Facility | 26 Warnock Springs Rd, Magnolia, AR 71753-9000 | 2011-08-11 |
| 1912182353 | Columbia Operations LLC | Skilled Nursing Facility | 301 Boundary St, Magnolia, AR 71753-3305 | 2008-01-03 |
| Find all providers in MAGNOLIA | ||||
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| 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.