OZARK MOUNTAIN ALCOHOL RESIDENTIAL TREATMENT, INC,. (NPI# 1750670303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750670303 |
Entity Type | Organization |
Organization Name | OZARK MOUNTAIN ALCOHOL RESIDENTIAL TREATMENT, INC,. |
Other Organization Name | OMART, INC. |
Practice Address |
116 Snowball Dr Gassville AR 72635 |
Mailing Address |
Po Box 188 Gassville AR 72635-0188 |
Practice Telephone | 8704356200 |
Mailing Telephone | 8704356200 |
Enumeration Date | 2011-04-05 |
Last Update Date | 2011-04-05 |
Authorized Official Name | MRS. DARLENE E PRINE (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 8704356200 |
Authorized Official Credential | CADC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | 00059 | AR | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | STATE OF ARKANSAS OFFICE OF ALCOHOL AND DRUG ABUSE PREVENTION | D14714 | 01 |
Other Name | Type Code |
---|---|
OMART, Inc. | Other Name - Individual/Organization |
Street Address |
116 SNOWBALL DR |
City | GASSVILLE |
State | AR |
Zip Code | 72635 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285183087 | Almost Family Personal Care, LLC | Case Management | 6289 Hwy 62w, Gassville, AR 72635 | 2016-09-22 |
1669703187 | Ashley Nursing Center Inc | Skilled Nursing Facility | 114 Chester Ashley Dr, Crossett, AR 72635 | 2010-01-22 |
1538349535 | Amanda Leigh Keller | Case Manager/Care Coordinator | 7345 Highway 62 West, Gassville, AR 72635 | 2007-11-07 |
1124028493 | Charles G Crosslin | Optometrist | 7345 Highway 62 W, Gassville, AR 72635 | 2005-07-28 |
1992237093 | Lisa Otto | Case Manager/Care Coordinator | 23 Marler Ln, Gassville, AR 72635-8127 | 2017-03-29 |
1083152797 | Almost Family Personal Care, LLC | Home Health | 6289 Highway 62 W, Gassville, AR 72635-8207 | 2017-02-02 |
1992793194 | Gassville Care Center Inc | Skilled Nursing Facility | 203 Cotter Rd, Gassville, AR 72635-8529 | 2005-10-11 |
1528484177 | Gvnc, Inc. | Skilled Nursing Facility | 203 Cotter Rd, Gassville, AR 72635-8529 | 2014-03-06 |
1245441096 | Kathy Jo Gay | Physical Therapist | 203 Cotter Rd, Gassville Nursing and Rehab Center, Gassville, AR 72635-8529 | 2007-05-24 |
1710099700 | Ponders Gassville Pharmacy | Pharmacy | 7337 Highway 62 W, Gassville, AR 72635-8636 | 2006-08-31 |
Find all providers in zip 72635 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
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1033737762 | Retreat At Skyridge | Substance Abuse Rehabilitation Facility | 637 County Road 111, Eureka Springs, AR 72631-9030 | 2020-07-09 |
1255971610 | Nsrc Oakgrove LLC | Substance Abuse Rehabilitation Facility | 10025 Oakland Dr, North Little Rock, AR 72118-1942 | 2020-01-13 |
1295385359 | Atlas Healthcare Associates, LLC | Substance Abuse Rehabilitation Facility | 408 Office Park Dr Ste 2, Bryant, AR 72022-7536 | 2019-09-19 |
1609429778 | Coatc LLC | Substance Abuse Rehabilitation Facility | 1807 E Lawson Rd, Little Rock, AR 72210-5012 | 2019-07-18 |
1730640558 | Teen Challenge Women's Ministries | Substance Abuse Rehabilitation Facility | 618 S Knoxville Ave, Russellville, AR 72801-6419 | 2019-03-26 |
1780114611 | Applegate Health Services, Inc | Substance Abuse Rehabilitation Facility | 403 W Oak St Ste 105, El Dorado, AR 71730-4573 | 2017-06-13 |
1518494863 | Cscb Rehabilitation Management Group, LLC | Substance Abuse Rehabilitation Facility | 1 Lile Court, Suite 103, Little Rock, AR 77005 | 2017-05-17 |
1013468925 | Preferred Family Health Care, Inc | Substance Abuse Rehabilitation Facility | 9219 Sibley Hall Road, Little Rock, AR 72209-0000 | 2016-10-17 |
1174907463 | Southwest Arkansas Counseling & Mental Health Center, Inc | Substance Abuse Rehabilitation Facility | 7000 N Stateline, Texarkana, AR 71854-2536 | 2015-07-16 |
1851770564 | Better Community Development, Inc | Substance Abuse Rehabilitation Facility | 3604 W 12th St, Little Rock, AR 72204-2139 | 2015-05-27 |
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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.