STONERIDGE HEALTH AND REHAB CENTER (NPI# 1851440309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851440309 |
| Entity Type | Organization |
| Organization Name | STONERIDGE HEALTH AND REHAB CENTER |
| Other Organization Name | STONERIDGE HEALTH & REHAB CENTER |
| Practice Address |
4017 Franklin College Station AR 72053 |
| Mailing Address |
1051 Lantrip Rd Sherwood AR 72120-4161 |
| Practice Telephone | 5014901533 |
| Practice Fax Number | 5014900608 |
| Mailing Telephone | 5018335627 |
| Mailing Fax Number | 5018356905 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2014-12-09 |
| Authorized Official Name | MR. KURT L LUTH (REGISTERED AGENT) |
| Authorized Official Telephone | 5018335627 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 0798 | AR | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 162852311 | 05 |
| Other Name | Type Code |
|---|---|
| StoneRidge Health & Rehab Center | Doing Business As Name - Organization |
| Street Address |
4017 FRANKLIN |
| City | COLLEGE STATION |
| State | AR |
| Zip Code | 72053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104214352 | Stoneridge Operations, LLC | Skilled Nursing Facility | 4017 Franklin Street, College Station, AR 72053 | 2014-12-22 |
| 1932305737 | Jefferson Comprehensive Care System, Inc | Clinic/Center | 4206 Frazier Pike, College Station, AR 72053 | 2007-06-27 |
| 1073886156 | Jefferson Comprehensive Care System, Inc. | Dentist | 4206 Frazier Pike, College Station, AR 72053-0668 | 2012-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417155 | Tomi Mayer | Registered Nurse | 4030 Highway 6 S Ste 325, College Station, TX 77845-1803 | 2020-11-05 |
| 1942800529 | Remarkable Ltc Partners of Brazos Valley Lp | Hospice Care, Community Based | 1645 Greens Prairie Rd W Ste 401b-2, College Station, TX 77845-8404 | 2020-10-31 |
| 1386242527 | Ayesha Jeelani | Dentist | 915 William D Fitch Pkwy Ste 300, College Station, TX 77845-4638 | 2020-10-10 |
| 1023622651 | Doc Healthcare, P.a. | Clinic/Center | 18395 Anasazi Bluff Dr, College Station, TX 77845-6158 | 2020-09-01 |
| 1255944302 | Ojong-tabong Bate | Pharmacist | 1811 George Bush Dr E Apt 223, College Station, TX 77840-3374 | 2020-08-28 |
| 1962015370 | Shanna Lewis Dominguez | Counselor | 3322 Longmire Dr Ste 100, College Station, TX 77845-6088 | 2020-08-25 |
| 1184237760 | Joseph Ryan Dickson | Dentist | 219 Rock Prairie Rd Ste 100, College Station, TX 77845-8796 | 2020-08-25 |
| 1174132245 | Ryan Robinson | Pharmacist | 11675 Fm 2154 Rd, College Station, TX 77845-4737 | 2020-07-24 |
| 1093324139 | Stephanie Bynum | Specialist/Technologist | 503 George Bush Dr W Apt 2630, College Station, TX 77840-2979 | 2020-07-24 |
| 1720697006 | Abby Ann Horn | Specialist/Technologist | 118b Poplar St, College Station, TX 77840-1911 | 2020-07-23 |
| Find all providers in COLLEGE STATION | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447659669 | Parkway Health Center, Inc. | Nursing Facility/Intermediate Care Facility | 14324 Chenal Pkwy, Little Rock, AR 72211-5805 | 2014-08-14 |
| 1093138059 | Little River Nursing and Rehab | Nursing Facility/Intermediate Care Facility | 162 Hwy 32-2a, Ashdown, AR 71822-8689 | 2014-01-28 |
| 1295071322 | Courtney Bickerstaff Apn,pllc | Nursing Facility/Intermediate Care Facility | 1309 Ashlea Place Dr, Bryant, AR 72022-9159 | 2012-12-18 |
| 1992014930 | Jane Ellen Phillips Apn Pllc | Nursing Facility/Intermediate Care Facility | 511 Farr Shores Dr, Hot Springs, AR 71913-9622 | 2010-09-24 |
| 1639480049 | Smith Drug Company | Nursing Facility/Intermediate Care Facility | 1104 Jones Rd, Paragould, AR 72450-7579 | 2010-06-30 |
| 1760627640 | Cavhs | Nursing Facility/Intermediate Care Facility | 2220 Ft Roots Drive, North Little Rock, AR 72114-1706 | 2008-12-08 |
| 1023283884 | A & C Fairways and Greenns Inc. | Nursing Facility/Intermediate Care Facility | 106 No. Third St., Marmaduke, AR 72443 | 2008-04-23 |
| 1568680742 | David E. Puryear Center | Nursing Facility/Intermediate Care Facility | 2806 Fox Meadow Ln, Jonesboro, AR 72404-9346 | 2007-04-23 |
| 1275673642 | Countryside Manor LLC | Nursing Facility/Intermediate Care Facility | 300 S Thompson Rd, Lamar, AR 72846-9423 | 2007-02-07 |
| 1760520936 | Greenhurst, Inc. | Nursing Facility/Intermediate Care Facility | 226 Skyler Dr, Pob 458, Charleston, AR 72933-9337 | 2007-02-01 |
| Find all providers with the same taxonomy | ||||
| City | COLLEGE STATION |
| Zip Code | 72053 |
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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.