Kmj Enterprises Bentonville Manor Llc in Bentonville - Skilled Nursing Facility
Kmj Enterprises Bentonville Manor Llc - NPI 1619964160
Kmj Enterprises Bentonville Manor Llc is a Skilled Nursing Facility in Bentonville, Arkansas. Kmj Enterprises Bentonville Manor Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Kmj Enterprises Bentonville Manor Llc is 1619964160. The last update date is 2008-06-10.
Kmj Enterprises Bentonville Manor Llc's current location address is 224 S Main St, Bentonville, Arkansas. You can contact this provider via phone number 4792733373 and fax number 4792730623. The mailing address for Kmj Enterprises Bentonville Manor Llc is 224 S Main St, Bentonville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kmj Enterprises Bentonville Manor Llc |
|---|---|
| Address | 224 S Main St, Bentonville, Arkansas |
| Phone Number | 4792733373 |
| Fax Number | 4792730623 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Miller Patricia |
| Telephone Number | 4796365716 |
NPI Number Detail
| NPI Number | 1619964160 |
|---|---|
| Provider Enumeration Date | 2005-09-30 |
| Last Updated Date | 2008-06-10 |
Provider Mailing Address Detail
| Address | 224 S Main St |
|---|---|
| City | Bentonville |
| State | Arkansas (AR) |
| Post Code | 727125963 |
| Phone Number | 4792733373 |
| Fax Number | 4792730623 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 712 |
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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 serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 119720311 | AR | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Kmj Enterprises Bentonville Manor Llc by the Centers for Medicare & Medicaid Services?
The Kmj Enterprises Bentonville Manor Llc has been issued the NPI (National Provider Identifier) 1619964160. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kmj Enterprises Bentonville Manor Llc?
The Kmj Enterprises Bentonville Manor Llc is situated at 224 S Main St, in the city of Bentonville, state of AR, with the zip code 727125963.
What is Kmj Enterprises Bentonville Manor Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kmj Enterprises Bentonville Manor Llc is Skilled Nursing Facility, and the taxonomy code that classifies this field of practice is 314000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1619964160 to Kmj Enterprises Bentonville Manor Llc?
The Kmj Enterprises Bentonville Manor Llc received its 1619964160 assignment from the Centers for Medicare & Medicaid Services on 2005-09-30.
When was the information regarding Kmj Enterprises Bentonville Manor Llc most recently updated?
The details pertaining to the Kmj Enterprises Bentonville Manor Llc, including its address, specialty, and other relevant information, were last refreshed on 2008-06-10.
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