Southridge Village Of Conway

LBN: Blankenship Management Co.
Southridge Village Of Conway is an health care organization with primary practice located at 1306 S Donaghey Ave , Conway AR 72034-6711. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Blankenship Management Co. can be contacted via phone (501) 327-3030, or through Blankenship, Ashley M via phone (501) 327-3030.

Contact Information

Primary practice address
1306 S Donaghey Ave Conway AR 72034-6711
Phone: (501) 327-3030
Fax: (501) 327-3034
Website:
Map and Directions
Authorized official contact:
Name: Blankenship, Ashley M
Phone: (501) 327-3030

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 044 Arkansas

Profile Details

NPI number 1245568260
LBN Legal business name Blankenship Management Co.
DBA Doing business as Southridge Village Of Conway
Authorized official Blankenship, Ashley M
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2009
Last updated Dec 2nd, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245568260 NPPES
Arkansas MEDICAID 179489794

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