GREEN ACRE LODGE INC. NPI 1942357405

NPI Information

NPI: 1942357405
Provider Name: GREEN ACRE LODGE INC.
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
89 HILLSIDE DR
HOLIDAY ISLAND, AR
ZIP 72631
Phone: (479) 253-6553
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GREEN ACRE LODGE INC. is an assisted living facility in Holiday Island, AR. The provider is 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. GREEN ACRE LODGE INC. NPI is 1942357405. The provider is registered as an organization entity type.

The provider's business location address is:

89 HILLSIDE DR
HOLIDAY ISLAND, AR
ZIP 72631-618
Phone: (479) 253-6553
Fax: (479) 253-5043

The provider's authorized official is Perla Talebi .
The authorized official title is Administrator and has the following contact phone number (479) 253-6553.

The enumeration date for this NPI number is 1/5/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		03-009	ARKANSAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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