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Contact Information

STONEGATE VILLA HEALTH AND REHABILITATION LLC
118 JERRY SELBY DRIVE
CROSSETT, AR71635
 Phone: 317-841-2377
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for STONEGATE VILLA HEALTH AND REHABILITATION LLC

NPI Number 1861708885
LBN Legal business name STONEGATE VILLA HEALTH AND REHABILITATION LLC
Authorized official BRIAN REYNOLDS - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/27/2010
Last updated 06/09/2015 - About 11 years ago
Identifiers
AR Medicaid 188898311
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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