HUDSON MEMORIAL NURSING HOME (NPI# 1710971809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710971809 |
| Entity Type | Organization |
| Organization Name | HUDSON MEMORIAL NURSING HOME |
| Practice Address |
700 N College Ave El Dorado AR 71730-4404 |
| Practice Telephone | 8708638131 |
| Practice Fax Number | 8708638661 |
| Mailing Telephone | 8708638131 |
| Mailing Fax Number | 8708638661 |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2007-11-14 |
| Authorized Official Name | MR. BILL YUTZY (ADMINISTRATOR) |
| Authorized Official Telephone | 8708638131 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Street Address |
700 N COLLEGE AVE |
| City | EL DORADO |
| State | AR |
| Zip Code | 71730-4404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982055950 | Andi Moore | Physical Therapist | 700 N College Ave, El Dorado, AR 71730-4404 | 2016-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856172 | Mental Health Counseling for Individuals and Couples | Clinic/Center | 3256 West Hillsboro Suite C, El Dorado, AR 71730 | 2019-11-25 |
| 1114578168 | Candance Marie Guinn | Nurse Practitioner | 1906 W Hillsboro St Ste B, El Dorado, AR 71730 | 2019-09-20 |
| 1811460462 | Kelsie Rogers | Pharmacist | 2202 N West Ave, El Dorado, El Dorado, AR 71730 | 2019-01-07 |
| 1861925331 | Kasey Leigh Mcclain | Nurse Practitioner | 2280 E Main St, El Dorado, AR 71730 | 2017-04-11 |
| 1366989568 | Shane Morr | Marriage & Family Therapist | 704 W 5th Dr, El Dorado, AR 71730 | 2017-01-25 |
| 1376986539 | Ivory A. Kinslow, Mdpa | Optometrist | 443 W Oak St, El Dorado, AR 71730 | 2013-04-08 |
| 1134485170 | Drs Weddle and Baumsardner | Dentist | 106 West Main St. 212, El Dorado, AR 71730 | 2012-04-04 |
| 1972888923 | Lenora S Newsome | Pharmacist | 2135 North West Ave, El Dorado, AR 71730 | 2011-10-20 |
| 1730460338 | South Arkansas Pharmacy, Inc | Pharmacy | 600 South Timberlane #101, El Dorado, AR 71730 | 2011-09-09 |
| 1710273891 | Ezinne Charity Nwude | Emergency Medicine | 701 N. West Avenue, El Dorado, AR 71730 | 2011-06-27 |
| Find all providers in zip 71730 | ||||
| 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 |
|---|---|---|---|---|
| 1528001146 | Timberlane Care and Rehabilitation Center, LLC | Skilled Nursing Facility | 2002 Timberwood Road, El Dorado, AR 71730 | 2006-06-13 |
| 1457303687 | Ggnsc El Dorado IIi LLC | Skilled Nursing Facility | 2415 W Hillsboro St, El Dorado, AR 71730-6815 | 2006-05-16 |
| 1780636191 | Ggnsc El Dorado II LLC | Skilled Nursing Facility | 900 Country Club Ln, El Dorado, KS 67042-4206 | 2006-05-16 |
| 1932109915 | Lakepoint Eldorado LLC | Skilled Nursing Facility | 1313 S High St, El Dorado, KS 67042-3751 | 2005-07-29 |
| 1053318485 | Blm Co. Inc. | Skilled Nursing Facility | 501 Hudson St, El Dorado, AR 71730-6573 | 2005-06-30 |
| 1568011526 | El Dorado Operator, LLC | Skilled Nursing Facility | 900 Country Club Ln, El Dorado, KS 67042-4206 | 2019-09-11 |
| 1568946937 | Phg El Dorado LLC | Skilled Nursing Facility | 1700 E Short Hillsboro St, El Dorado, AR 71730-6458 | 2018-09-20 |
| 1497246979 | Or Ops, Inc. | Skilled Nursing Facility | 501 Hudson St, El Dorado, AR 71730 | 2018-05-21 |
| 1134676885 | Oak Ridge Distinctive Senior Living and Rehab, LLC | Skilled Nursing Facility | 501 Hudson St, El Dorado, AR 71730-6573 | 2016-09-09 |
| 1023565967 | El Dorado Care and Rehabilitation Center, LLC | Skilled Nursing Facility | 900 Country Club Ln, El Dorado, KS 67042-4206 | 2016-09-08 |
| Find all providers in EL DORADO | ||||
Please comment or provide details below to improve the information on HUDSON MEMORIAL NURSING HOME.
| 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.