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AGE CARE LLC NPI 1497979868


NPI Information

NPI: 1497979868
Provider Name: AGE CARE LLC

Doing Business As: FOX RIDGE ESTATES

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
4216 FOX RIDGE DR
BENTON, AR
ZIP 72022
Phone: (479) 968-8279
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AGE CARE LLC is an assisted living facility in Benton, 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. AGE CARE LLC NPI is 1497979868. The provider is registered as an organization entity type.
The provider Is Doing Business As Fox Ridge Estates.

The provider's business location address is:

4216 FOX RIDGE DR
BENTON, AR
ZIP 72022-308
Phone: (479) 968-8279
Fax: (479) 968-4331

The provider's authorized official is Kerri Couch .
The authorized official title is Manager and has the following contact phone number (479) 968-8279.

The enumeration date for this NPI number is 4/13/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityARKANSASYes

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: 4/28/2024

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