LINCOLIN CO ASSISTED LIVING (NPI# 1962912626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962912626 |
Entity Type | Organization |
Organization Name | LINCOLIN CO ASSISTED LIVING |
Other Organization Name | DALTONS PLACE @ STAR CITY |
Practice Address |
142 Teva Dr Star City AR 71667-4253 |
Practice Telephone | 8709416734 |
Mailing Telephone | 8709416734 |
Enumeration Date | 2017-10-09 |
Last Update Date | 2017-10-09 |
Authorized Official Name | KIM MOSELEY (REGIONAL DIRECTOR) |
Authorized Official Telephone | 8709416734 |
Authorized Official Credential | RD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Daltons Place @ Star City | Doing Business As Name - Organization |
Street Address |
142 TEVA DR |
City | STAR CITY |
State | AR |
Zip Code | 71667-4253 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316557143 | Christie Abella | Specialist/Technologist | 2006 Goodfellow Road, Star City, AR 71667 | 2020-08-06 |
1982193975 | Monticello Medical Clinic, Plc | Family Medicine | 1306 N. Lincoln Avenue, Star City, AR 71667 | 2018-05-04 |
1316443807 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 1306 North Lincoln Avenue, Star City, AR 71667 | 2018-04-03 |
1609379346 | Mainline Health Systems, Inc. | Clinic/Center | 310 Ashley St., Star City, AR 71667 | 2018-03-08 |
1124565213 | Mainline Health Systems, Inc | Clinic/Center | 310 Ashley St, Star City, AR 71667 | 2017-01-26 |
1801105424 | Tammy Renee White | Pharmacist | 1309 North Lincoln Ave, Star City, AR 71667 | 2010-09-30 |
1356598783 | Patrick Keith Numan | Counselor | 301 N. Oak St, Star City, AR 71667 | 2008-08-27 |
1568669844 | Jeri Lou Farabough | Speech-Language Pathologist | Bradley Street, Star City, AR 71667 | 2007-06-29 |
1396768636 | Barbara Diane Weaver | Social Worker | 110 N Drew, Star City, AR 71667 | 2006-07-26 |
1336184431 | University of Arkansas for Medical Sciences | Family Medicine | 203 S Jefferson St, Star City, AR 71667 | 2006-06-20 |
Find all providers in zip 71667 |
Taxonomy Code | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518517127 | Peachtree Village, LLC | Assisted Living Facility | 1500 Fresno St, Fort Smith, AR 72901-7023 | 2019-09-16 |
1427539600 | Peachtree Village of Farmington, LLC | Assisted Living Facility | 55 W Rainsong St, Farmington, AR 72730-8635 | 2018-08-24 |
1437654670 | Eldercare of Arkansas V, Inc. | Assisted Living Facility | 601 E. Mountain Springs Road, Cabot, AR 72023 | 2018-03-29 |
1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
1750897039 | Green Acre Easy Lliving | Assisted Living Facility | 2407 W Oak St, Rogers, AR 72758-3943 | 2017-12-21 |
1043743768 | Peachtree Village At Holiday Island | Assisted Living Facility | 5 Park Dr, Holiday Island, AR 72631-9388 | 2017-04-10 |
1740645456 | Providence PCc of Springdale | Assisted Living Facility | 2175 Orchard St, Springdale, AR 72764-6357 | 2015-12-22 |
1649640236 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 200 Good Samaritan Dr, Mountain Home, AR 72653-9325 | 2015-09-25 |
1427444124 | Holiday Island Operations, LLC | Assisted Living Facility | 89 Hillside Drive, Holiday Island, AR 72631 | 2015-04-09 |
1639588585 | Benton Senior Living, LLC | Assisted Living Facility | 1180 Highway 71 S, Mena, AR 71953-3908 | 2014-08-05 |
Find all providers with the same taxonomy |
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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.