Active NPIOrganization

Mountain Home SNF Opco LLC

Skilled Nursing Facility in Mountain Home, Arkansas

NPI Number1437988789
Practice location
300 Good Samaritan Dr, Mountain Home, AR 72653-5813
Fax
—
Last updated
September 24, 2024

Mountain Home SNF Opco LLC is a healthcare organization based in Mountain Home, AR. Mountain Home SNF Opco LLC practices in Mountain Home, AR. The NPI Number for Mountain Home SNF Opco LLC is 1437988789. The current practice location address for Mountain Home SNF Opco LLC is 300 Good Samaritan Dr, Mountain Home, AR 72653-5813 and can be reached out via phone at 870-706-6525.

Provider Profile Details

NPI Number
1437988789
Provider Name
Mountain Home SNF Opco LLC
Provider Entity Type
Organization
Address
300 Good Samaritan Dr, Mountain Home, AR 72653-5813
Phone Number
870-706-6525
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
No
Authorized Official
Daniel Mandelbaum, CPA · Cfo · 718-570-6018
Other Names
Lake Forest Senior Living At Mountain Home (Doing Business As)
Provider Enumeration Date
July 26, 2024
Last Update Date
September 24, 2024
Certification Date
September 24, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 Good Samaritan Dr
Mountain Home, AR 72653-5813
Zip
72653-5813
Phone Number
870-706-6525
Mountain Home, AR 72653Get directions →

Provider Business Mailing Address Details

Address
180 Sylvan Ave Ste 202
Englewood Cliffs, NJ 07632-2512
City
Englewood Cliffs
State
NJ
Zip
07632-2512
Phone Number
718-570-6018

License Information

Taxonomy
Skilled Nursing Facility · 314000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mountain Home SNF Opco LLC?

The NPI number of Mountain Home SNF Opco LLC is 1437988789. It was assigned on July 26, 2024 and is currently active in the NPPES registry.

What is the specialty of Mountain Home SNF Opco LLC?

Mountain Home SNF Opco LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).

Where does Mountain Home SNF Opco LLC practice?

The practice location is 300 Good Samaritan Dr, Mountain Home, AR 72653-5813. The office can be reached at 870-706-6525 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1437988789 directly on the NPPES registry website.

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