Stonegate Villa Health And Rehabilitation Llc

LBN: Stonegate Villa Health And Rehabilitation Llc
Stonegate Villa Health And Rehabilitation Llc is an health care organization with primary practice located at 118 Jerry Selby Drive , Crossett AR 71635. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Stonegate Villa Health And Rehabilitation Llc can be contacted via phone (317) 841-2377, or through Reynolds, Brian K. via phone (410) 513-8738.

Contact Information

Primary practice address
118 Jerry Selby Drive Crossett AR 71635
Phone: (317) 841-2377
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Reynolds, Brian K.
Phone: (410) 513-8738

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1861708885
LBN Legal business name Stonegate Villa Health And Rehabilitation Llc
DBA Doing business as
Authorized official Reynolds, Brian K.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 27th, 2010
Last updated Jun 9th, 2015 - about 10 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 1861708885 NPPES
Arkansas MEDICAID 188898311

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