WHITE RIVER HEALTH SYSTEM (NPI# 1801972922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801972922 |
| Entity Type | Organization |
| Organization Name | WHITE RIVER HEALTH SYSTEM |
| Other Organization Name | STONE COUNTY RESIDENTIAL CARE FACILITY |
| Practice Address |
414 Massey Ave Mountain View AR 72560-6132 |
| Practice Telephone | 8702695845 |
| Practice Fax Number | 8702699911 |
| Mailing Telephone | 8702695845 |
| Mailing Fax Number | 8702699911 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DAVID D. JARVIS (ASSOCIATE ADMINISTRATOR - LTC DIVIS) |
| Authorized Official Telephone | 8706705690 |
| Authorized Official Credential | LNHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | 359 | AR | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Stone County Residential Care Facility | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679658637 | White River Health System | Skilled Nursing Facility | 100 South Cedar, Marshall, AR 72650 | 2006-10-26 |
| 1255414132 | White River Health System | Custodial Care Facility | 1203 S Bend Dr, Horseshoe Bend, AR 72512-3727 | 2006-10-23 |
| 1356565428 | White River Health System | Rehabilitation Hospital | 1699 Harrison St, 1699 Harrison St., Batesville, AR 72501-7302 | 2007-04-12 |
| 1063535250 | White River Health System | Rehabilitation Hospital | 1699 Harrison St, Suite A, Batesville, AR 72501-7302 | 2007-04-10 |
| 1992874499 | White River Health System | Durable Medical Equipment & Medical Supplies | 318 East Main Street, Suite #1, Mountain View, AR 72560 | 2006-11-07 |
| 1790863967 | White River Health System | Skilled Nursing Facility | 1203 S Bend Dr, Horseshoe Bend, AR 72512-3727 | 2006-11-02 |
| Street Address |
414 MASSEY AVE |
| City | MOUNTAIN VIEW |
| State | AR |
| Zip Code | 72560-6132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134603509 | Mountain View Residential Home - A Waters Community, LLC | Assisted Living Facility | 414 Massey Ave, Mountain View, AR 72560-6132 | 2018-09-20 |
| 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 |
| 1407275639 | Mountain Top Alf LLC | Assisted Living Facility | 414 Massey Ave, Mountain View, AR 72560-6132 | 2014-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979781 | Creoks Mental Health Services, Inc | Clinic/Center | 301 Industrial Road, Mountain View, AR 72560 | 2020-07-14 |
| 1194377861 | John Randolph Crone II | Physical Therapist | 103 Mountain Place Drive, Mountain View, AR 72560 | 2019-07-12 |
| 1154898161 | Candace Casey Lane | Physical Therapy Assistant | 260 Hickory Circle, Mountain View, AR 72560 | 2018-10-29 |
| 1780102210 | Janet Karen Watkins | Developmental Therapist | 1810 Ozarka College Drive, Mountain View, AR 72560 | 2017-09-05 |
| 1861928038 | Jason Nope | Registered Nurse | 217 Brewer Avenue, Mountain View, AR 72560 | 2017-05-10 |
| 1013377415 | Charles Grinder | Nurse Practitioner | 102 Mountain Place Dr Ste C, Mountain View, AR 72560 | 2016-02-26 |
| 1912365982 | Baxter Regional Health System | Family Medicine | 102 Mountain Place Drive, Suite C, Mountain View, AR 72560 | 2016-02-05 |
| 1790142859 | Baxter Regional Health System | Nurse Practitioner | 803 W Main St., Mountain View, AR 72560 | 2016-01-20 |
| 1518337732 | Beverly Clark | Nurse Practitioner | 803 West Main Street, Mountain View, AR 72560 | 2015-09-30 |
| 1447503941 | Mitchell's Main Street Pharmacy, Inc | Pharmacy | 214 East Main St, Mountain View, AR 72560 | 2012-10-22 |
| Find all providers in zip 72560 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689712036 | Terrys Residential Care Facility | Custodial Care Facility | 283 Hinkley Rd, Proctor, AR 72376-8804 | 2007-02-01 |
| 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 |
| 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 |
| City | MOUNTAIN VIEW |
| Zip Code | 72560 |
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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.