TERRYS RESIDENTIAL CARE FACILITY (NPI# 1689712036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689712036 |
| Entity Type | Organization |
| Organization Name | TERRYS RESIDENTIAL CARE FACILITY |
| Practice Address |
283 Hinkley Rd Proctor AR 72376-8804 |
| Practice Telephone | 8707357500 |
| Practice Fax Number | 8707357503 |
| Mailing Telephone | 8707357500 |
| Mailing Fax Number | 8707357503 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. IRENE MACK (OWNER) |
| Authorized Official Telephone | 8707357500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | 101 | AR | Nursing & Custodial Care Facilities |
| Street Address |
283 HINKLEY RD |
| City | PROCTOR |
| State | AR |
| Zip Code | 72376-8804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417599788 | E & D Private Care Agency | Technician | 3051 Waverly Rd, Proctor, AR 72376 | 2019-10-08 |
| 1063919892 | These Old Bonez Enterprises | Home Health | 2144 Hwy147 South- Building A, Proctor, AR 72376-2346 | 2018-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699315234 | Brian Steven Hammers | Counselor | 810 Almac Dr, Proctor, MN 55810-2743 | 2020-01-12 |
| 1417599788 | E & D Private Care Agency | Technician | 3051 Waverly Rd, Proctor, AR 72376 | 2019-10-08 |
| 1720541337 | Ltc Prescription Providers #2 | Pharmacy | 220 1/2 Third Avenue, Proctor, MN 55810 | 2019-04-10 |
| 1063919892 | These Old Bonez Enterprises | Home Health | 2144 Hwy147 South- Building A, Proctor, AR 72376-2346 | 2018-04-09 |
| 1245628742 | Andrea Mckay | Specialist/Technologist | 1226 2nd Ave, Proctor, MN 55810-1218 | 2015-01-06 |
| 1083012165 | Fcsl Proctor, LLC | Assisted Living Facility | 913 Old Highway 2, Proctor, MN 55810-1750 | 2014-12-05 |
| 1609274794 | Fcsl Proctor, LLC | Assisted Living Facility | 919 Old Highway 2, Proctor, MN 55810-1750 | 2014-12-05 |
| 1992103089 | Fcsl Proctor, LLC | Assisted Living Facility | 921 Old Highway 2, Proctor, MN 55810-1750 | 2014-12-05 |
| 1598162646 | Fcsl Proctor, LLC | Assisted Living Facility | 923 Old Highway 2, Proctor, MN 55810-1750 | 2014-12-04 |
| 1083014708 | Kristen O'neil | Specialist/Technologist | 40 Postal St, Proctor, WV 26055-1316 | 2014-08-29 |
| Find all providers in PROCTOR | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801972922 | White River Health System | Custodial Care Facility | 414 Massey Ave, Mountain View, AR 72560-6132 | 2006-10-31 |
| 1255414132 | White River Health System | Custodial Care Facility | 1203 S Bend Dr, Horseshoe Bend, AR 72512-3727 | 2006-10-23 |
| 1497220255 | Retirement Centers of Arkansas | Custodial Care Facility | 8900 Highway 107, Sherwood, AR 72120 | 2018-10-09 |
| 1639538390 | Highlands of Mountain View Rcf Holdings LLC | Custodial Care Facility | 414 Massey Ave, Mountain View, AR 72560-6132 | 2016-02-23 |
| 1396135976 | Highlands of Mountain View Rcf, LLC | Custodial Care Facility | 414 Massey Ave, Mountain View, AR 72560-6132 | 2015-02-03 |
| 1184037293 | Integrity Resident Care, LLC | Custodial Care Facility | 105 S College St, Searcy, AR 72143-5144 | 2014-06-05 |
| 1346571163 | Gval, LLC | Custodial Care Facility | 1625 E 42nd St, Texarkana, AR 71854-1654 | 2010-01-18 |
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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.