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Evgueni Roudachevski, D.o.
Skilled Nursing Facility in Little Rock, Arkansas
NPI 1073914719

Evgueni Roudachevski, D.o. is a Skilled Nursing Facility based in Little Rock, AR. Evgueni Roudachevski, D.o. practices in Little Rock, AR. The NPI Number for Evgueni Roudachevski, D.o. is 1073914719 and holds a License No. A03199 (Arkansas).

The current practice location address for Evgueni Roudachevski, D.o. is 11912 Kanis Rd Ste F2, Little Rock, AR and can be reached out via phone at 501-227-8020 and via fax at 501-227-8826.

Location: 11912 Kanis Rd Ste F2, Little Rock, AR, 72211-3771
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073914719
Provider Name
Evgueni Roudachevski, D.o.
Credential
Provider Entity Type
Organization
Address
11912 Kanis Rd Ste F2, Little Rock, AR, 72211-3771
Phone Number
501-227-8020
Fax Number
501-227-8826
Provider Enumeration Date
09/12/2014
Last Update Date
03/13/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1568763514 01 AR NPI
186702758 05 AR
institution
Provider Business Practice Location Address Details
Address
11912 Kanis Rd Ste F2
City
Little Rock
State
Arkansas
Zip
72211-3771
Phone Number
501-227-8020
Fax Number
501-227-8826
person
Provider Business Mailing Address Details
Address
11912 Kanis Rd Ste F2
City
Little Rock
State
Arkansas
Zip
72211-3771
Phone Number
501-227-8020
Fax Number
501-227-8826
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
A03199 (Arkansas)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
A03199 (Arkansas)
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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