BROWNWOOD LIFE CARE CENTER, INC. (NPI# 1548386600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548386600 |
| Entity Type | Organization |
| Organization Name | BROWNWOOD LIFE CARE CENTER, INC. |
| Practice Address |
2121 Towson Ave Fort Smith AR 72901-5904 |
| Practice Telephone | 4797852273 |
| Practice Fax Number | 4797850583 |
| Mailing Telephone | 4797852273 |
| Mailing Fax Number | 4797850583 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. KIMBERLY NADINE PRYBUTO (BUSINESS MANAGER) |
| Authorized Official Telephone | 4797852273 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 366 | AR | Nursing & Custodial Care Facilities |
| Street Address |
2121 TOWSON AVE |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72901-5904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922627249 | Vaibhav S Desai | Student in an Organized Health Care Education/Training Program | Family Medicine Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2020-04-16 |
| 1689136475 | Prudence Nassem Ipaye-adebiyi | Student in an Organized Health Care Education/Training Program | Family Medicine ; Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2019-04-02 |
| 1134608961 | Baptist Health Services | Otolaryngology | 520 Towson Ave, Suite A, Fort Smith, AR 72901 | 2018-08-13 |
| 1316426125 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 60, Fort Smith, AR 72901 | 2018-08-13 |
| 1396224101 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 100, Fort Smith, AR 72901 | 2018-08-13 |
| 1164901914 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 200, Fort Smith, AR 72901 | 2018-08-13 |
| 1942789755 | Baptist Health Services | Counselor | 1001 Towson Ave Ste 500, Fort Smith, AR 72901 | 2018-08-13 |
| 1669951315 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 175, Fort Smith, AR 72901 | 2018-08-13 |
| 1508345265 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 180, Fort Smith, AR 72901 | 2018-08-13 |
| 1326527086 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 195, Fort Smith, AR 72901 | 2018-08-13 |
| Find all providers in zip 72901 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831302108 | Young Homes | Intermediate Care Facility, Mentally Retarded | 910 N Ithaca Ave, Russellville, AR 72801-4301 | 2007-05-07 |
| 1659592038 | Creative Living. Inc | Intermediate Care Facility, Mentally Retarded | 350 Hubbard Rd, Conway, AR 72034-6153 | 2007-05-01 |
| 1467672162 | Perry County Day Service Center, Inc. | Intermediate Care Facility, Mentally Retarded | 115 South Pine Street, Perryville, AR 72126 | 2007-04-26 |
| 1821211871 | Omega Home,inc. | Intermediate Care Facility, Mentally Retarded | 112 East Ave. D, Hope, AR 71802-1540 | 2007-04-10 |
| 1477679074 | Creative Housing IIi-newton | Intermediate Care Facility, Mentally Retarded | 232 N Newton Ave, El Dorado, AR 71730-5422 | 2007-03-22 |
| 1952427569 | Creative Housing IIi-mt Holly | Intermediate Care Facility, Mentally Retarded | 1215 Mount Holly Rd, El Dorado, AR 71730-4236 | 2007-03-22 |
| 1801928627 | State of Arkansas | Intermediate Care Facility, Mentally Retarded | 87 Reed Rd, Highway 116 South, Booneville, AR 72927 | 2007-03-09 |
| 1487781027 | State of Arkansas | Intermediate Care Facility, Mentally Retarded | 14701 Highway 111, Alexander, AR 72002-1742 | 2007-02-28 |
| 1851428189 | Jenkins Housing Inc | Intermediate Care Facility, Mentally Retarded | 3401 Chapel Pines Drive South, Pine Bluff, AR 71603 | 2007-02-27 |
| 1447395439 | Community Life Services, Inc. | Intermediate Care Facility, Mentally Retarded | 1509 Michael Dr, Little Rock, AR 72204-2336 | 2007-02-20 |
| Find all providers with the same taxonomy | ||||
| City | FORT SMITH |
| Zip Code | 72901 |
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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.