GREENWOOD RETIREMENT CENTER (NPI# 1700093507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700093507 |
| Entity Type | Organization |
| Organization Name | GREENWOOD RETIREMENT CENTER |
| Practice Address |
1200 W Center St Greenwood AR 72936-3716 |
| Practice Telephone | 4794524949 |
| Practice Fax Number | 4784788580 |
| Mailing Telephone | 4794524949 |
| Mailing Fax Number | 4784788580 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. LINDA SHORT (OWNER) |
| Authorized Official Telephone | 4794524949 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| Street Address |
1200 W CENTER ST |
| City | GREENWOOD |
| State | AR |
| Zip Code | 72936-3716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144854886 | Western Arkansas Counseling and Guidance Center,inc.-rcf Greenwood | Community/Behavioral Health | 1200 W Center St, Greenwood, AR 72936-3716 | 2020-03-02 |
| 1043876915 | John Gooch | Case Manager/Care Coordinator | 1200 W Center St, Greenwood, AR 72936-3716 | 2019-05-15 |
| 1851820013 | Melissa Phillips | Case Manager/Care Coordinator | 1200 W Center St, Greenwood, AR 72936-3716 | 2017-06-09 |
| 1598293169 | Jillian Moore | Case Manager/Care Coordinator | 1200 W Center St, Greenwood, AR 72936-3716 | 2017-05-26 |
| 1699203265 | Jamie Webb | Case Manager/Care Coordinator | 1200 W Center St, Greenwood, AR 72936-3716 | 2017-05-26 |
| 1679025142 | Autumn Robinson | Case Manager/Care Coordinator | 1200 W Center St, Greenwood, AR 72936-3716 | 2016-10-31 |
| 1841647427 | Mackenzie Moore | Case Manager/Care Coordinator | 1200 W Center St, Greenwood, AR 72936-3716 | 2016-05-24 |
| 1275904518 | Kimberly Tomlin | Case Manager/Care Coordinator | 1200 W Center St, Greenwood, AR 72936-3716 | 2015-10-13 |
| 1881065134 | Katelyn Friday | Case Manager/Care Coordinator | 1200 W Center St, Greenwood, AR 72936-3716 | 2015-10-13 |
| 1316328685 | Shelby Knapple | Counselor | 1200 W Center St, Greenwood, AR 72936-3716 | 2015-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376022988 | Sonja Kay Cooper | Pharmacist | 2708 Old Chismville Rd, Greenwood, AR 72936 | 2018-08-14 |
| 1225585201 | Henry Counseling Services | Marriage & Family Therapist | 105 North Main St., Greenwood, AR 72936 | 2016-09-07 |
| 1720316235 | Sports Plus Physical Therapy | Physical Therapist | 250 Old Hackett Road, Greenwood, AR 72936 | 2009-11-20 |
| 1285812255 | Lisa Jan Bohne Clay | Psychologist | 2711 Shadow Lake Dr, Greenwood, AR 72936 | 2008-02-01 |
| 1366639684 | Rhonda Michele Barnes | Social Worker | 300 Westwood Ave, Greenwood, AR 72936 | 2007-10-01 |
| 1619018793 | Robert Gary Mack II | Contractor | 2712 Edgewater Drive, Greenwood, AR 72936 | 2007-02-09 |
| 1003963075 | Brent Wade Dunavin | Dentist | 7 W Center Street, Greenwood, AR 72936 | 2007-01-04 |
| 1891851804 | James A Burgess Jr. | Dentist | 7 West Center, Greenwood, AR 72936 | 2006-12-28 |
| 1467512079 | Terrell Wayne Bailey | Dentist | 520 Hamilton Lane, Greenwood, AR 72936 | 2006-12-12 |
| 1801808837 | Health Depot Pharmacies, LLC | Durable Medical Equipment & Medical Supplies | 1530 W Center, Greenwood, AR 72936 | 2006-08-11 |
| Find all providers in zip 72936 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447464177 | Todd's Companionplus of In LLC | Custodial Care Facility | 1111 Ramblin Court, Greenwood, IN 46142-8344 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881232536 | Trina Smith | Custodial Care Facility | 107 Summer Pl, Hot Springs, AR 71913-5165 | 2019-12-12 |
| 1306105945 | Legacy Healthcare Management, Inc. | Custodial Care Facility | 4800 W 13th St, Ste #d, Little Rock, AR 72204-1900 | 2012-05-15 |
| 1336356179 | Baxter Retirement Village | Custodial Care Facility | 550 W 6th St, Mountain Home, AR 72653-3420 | 2007-05-17 |
| 1942417795 | Mulberry Retirement Center | Custodial Care Facility | 949 N Main St, Mulberry, AR 72947-8538 | 2007-05-17 |
| 1578770335 | Harrison Retirement Center | Custodial Care Facility | 520 Harness St, Harrison, AR 72601-8905 | 2007-05-17 |
| 1942344288 | Boeckmann and Sons | Custodial Care Facility | 1803 Lindauer Rd, Forrest City, AR 72335-2407 | 2007-02-19 |
| 1366590572 | Harris Southeast Care Home | Custodial Care Facility | 534 S 16th St, West Memphis, AR 72301-5631 | 2007-01-07 |
| 1427139567 | Tippin Surgical Supply | Custodial Care Facility | 502 West Pennington Street, Ola, AR 72853 | 2006-10-17 |
| 1114485471 | Short Mountain Lodge Residential Care | Custodial Care Facility | 2721 W Walnut St, Paris, AR 72855-3642 | 2019-03-06 |
| 1548435563 | Community and Governmental Consultants Inc. | Custodial Care Facility | 100 Ridgeview Rd, Eureka Springs, AR 72632-9358 | 2008-04-30 |
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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.