River Lodge Assisted Living Llc

LBN: River Lodge Assisted Living Llc
River Lodge Assisted Living Llc is an health care organization with primary practice located at 117 Riverlodge Drive , Mountain Home AR 72653. 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. River Lodge Assisted Living Llc can be contacted via phone (870) 607-0902, or through Hightower, Todd Parker via phone (479) 471-9797.

Contact Information

Primary practice address
117 Riverlodge Drive Mountain Home AR 72653
Phone: (870) 607-0902
Fax: (870) 607-0905
Website:
Map and Directions
Authorized official contact:
Name: Hightower, Todd Parker
Phone: (479) 471-9797

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 049 Arkansas

Profile Details

NPI number 1912299660
LBN Legal business name River Lodge Assisted Living Llc
DBA Doing business as
Authorized official Hightower, Todd Parker
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2011
Last updated May 12th, 2011 - about 13 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 1912299660 NPPES
Arkansas MEDICAID 185308794

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