GRAND MANOR (NPI# 1508251786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508251786 |
| Entity Type | Organization |
| Organization Name | GRAND MANOR |
| Practice Address |
1960 Highway 425 N Monticello AR 71655-8862 |
| Practice Telephone | 8704124400 |
| Practice Fax Number | 8704124506 |
| Mailing Telephone | 8704124400 |
| Mailing Fax Number | 8704124506 |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2015-04-03 |
| Authorized Official Name | JENNIFER L HELMS (SECRETARY) |
| Authorized Official Telephone | 8704124400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 106 | AR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 206724794 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GRAND MANOR | 1001 Grand Ave, Ravenna, NE 68869-1040 |
| System for Award Management (SAM) Entities | GRAND MANOR APARTMENTS | 2828 Orchard Ave, Grand Junction, CO 81501-4966 |
| Virginia Business Entities | Grand Manor at Lake Evergreen Homeowners Association Inc. | 1330 Lake Rest Cir, Midlothian, Virginia 23114-3266 |
| New York State Corporations | GRAND MANOR ESTATES RE-DEVELOPMENT COMPANY OWNERS CORP. | 30 Mcintosh Court, Malverne, Ny 11565 |
| New York State Corporations | GRAND MANOR HEALTH RELATED FACILITY, INC. | 700 White Plains Road, Bronx, Ny 10473 |
| New York State Corporations | GRAND MANOR HOLDINGS, LLC | 167 Middle Country Road, Middle Island, New York 11967 |
| New York State Corporations | GRAND MANOR INC | 3112 Route 9w, Saugerties, Ny 12477 |
| Colorado Business Entities | GRAND MANOR LLC | 62927 Us Highway 40, Granby, CO 80446 |
| Colorado Business Entities | GRAND MANOR MUTUAL HOUSING ASSOCIATION, INC. | 225 E 16th Ave Ste 600, Denver, CO 80203 |
| Massachusetts Corporations | GRAND MANOR REALTY LLC | 59 Easterbrook Road, Lunenburg, MA 01462 |
| Street Address |
1960 HIGHWAY 425 N |
| City | MONTICELLO |
| State | AR |
| Zip Code | 71655-8862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104462712 | Ashley Leanna Huitt | Nurse Practitioner | Drew Memorial Health System, 778 Scogin Drive, Monticello, AR 71655 | 2019-11-19 |
| 1043716525 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 733 Roberts Drive, Monticello, AR 71655 | 2018-04-03 |
| 1760991640 | Kristen Leigh Harvey | Registered Nurse | 162 University Heights Drive, Monticello, AR 71655 | 2017-09-24 |
| 1124578075 | Morgan Family Dentistry, Pllc | Dentist | 501 Hwy 425 South, Monticello, AR 71655 | 2016-10-04 |
| 1770039752 | Jesse Bone | Nurse Practitioner | 766 Hl Ross Drive, Monticello, AR 71655 | 2016-08-30 |
| 1487050076 | Sara Tucker | Speech-Language Pathologist | 178 W. College Street, Monticello, AR 71655 | 2014-11-10 |
| 1164859203 | Dustin Clint Eubanks | Chiropractor | 604 A West Bolling Street, Monticello, AR 71655 | 2013-10-03 |
| 1194009431 | Rebecca Shea Woodall | Social Worker | 600 Highway 425 North, Suite B, Monticello, AR 71655 | 2011-10-05 |
| 1568744522 | Britney Leigh Box | Occupational Therapist | 178 W College St, Monticello, AR 71655 | 2011-09-15 |
| 1740415611 | Julia Danielle Nicholson | Family Medicine | 906 Roberts Drive, Monticello, AR 71655 | 2009-05-21 |
| Find all providers in zip 71655 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| 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). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841453271 | Studer Chiropractic, P.C. | Clinic/Center | 113 Locust St, Monticello, MN 55362-8849 | 2008-07-07 |
| 1770519100 | Mckiever Clinic | Clinic/Center | 766 H L Ross Dr, Monticello, AR 71655-5706 | 2006-06-25 |
| 1306192695 | Horizon Chiropractic LLC | Clinic/Center | 920 W Broadway St, Monticello, IN 47960-1814 | 2012-07-24 |
| 1366705113 | Adams Enterprises of East Central Illinois PC | Clinic/Center | 1109 N State St, Monticello, IL 61856-1175 | 2012-06-18 |
| 1114291879 | Foothills Academy, Inc. | Clinic/Center | 80 Rolling Hills Blvd, Monticello, KY 42633-9005 | 2012-02-28 |
| 1710113071 | Reinhart Family Healthcare Pllc | Clinic/Center | 777 Jordan Dr, Monticello, AR 71655-5719 | 2009-06-01 |
| 1669591053 | Jefferson Management Services Inc | Clinic/Center | 750 H L Ross Dr, Monticello, AR 71655-5705 | 2007-03-28 |
| 1669590113 | Jefferson Management Service Inc | Clinic/Center | 750 H L Ross Dr, Monticello, AR 71655-5705 | 2007-03-26 |
| 1841318334 | Jefferson Management Services | Clinic/Center | 777 Jordan Dr, Monticello, AR 71655-5719 | 2007-03-26 |
| 1275624694 | Sdtc The Center for Discovery | Clinic/Center | 606 Old Route 17, Monticello, NY 12701-7013 | 2006-09-28 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 71655 |
Please comment or provide details below to improve the information on GRAND MANOR.
| 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.