Hazel Street Nursing Association in Pine Bluff - Skilled Nursing Facility
Hazel Street Nursing Association - NPI 1104814383
Hazel Street Nursing Association is a Skilled Nursing Facility in Pine Bluff, Arkansas. Hazel Street Nursing Association practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Hazel Street Nursing Association is 1104814383. The last update date is 2013-07-12.
Hazel Street Nursing Association's current location address is 6811 S Hazel St, Pine Bluff, Arkansas. You can contact this provider via phone number 8705351155 and fax number 8705350732. The mailing address for Hazel Street Nursing Association is 6811 S Hazel St, Pine Bluff, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Hazel Street Nursing Association |
|---|---|
| Address | 6811 S Hazel St, Pine Bluff, Arkansas |
| Phone Number | 8705351155 |
| Fax Number | 8705350732 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Shepard T Michael |
| Telephone Number | 8705410342 |
NPI Number Detail
| NPI Number | 1104814383 |
|---|---|
| Provider Enumeration Date | 2005-10-11 |
| Last Updated Date | 2013-07-12 |
Provider Mailing Address Detail
| Address | 6811 S Hazel St |
|---|---|
| City | Pine Bluff |
| State | Arkansas (AR) |
| Post Code | 716037829 |
| Phone Number | 8705351155 |
| Fax Number | 8705350732 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 725 |
|
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 |
|---|---|---|---|
| 119733311 | AR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Hazel Street Nursing Association by the Centers for Medicare & Medicaid Services?
The Hazel Street Nursing Association has been assigned the NPI (National Provider Identifier) 1104814383 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Hazel Street Nursing Association is physically located?
The Hazel Street Nursing Association is situated at the following address: 6811 S Hazel St, Pine Bluff, AR 716037829.
What is Hazel Street Nursing Association's area of expertise and its corresponding taxonomy classification?
The Hazel Street Nursing Association's field of specialization is Skilled Nursing Facility, and it falls under the taxonomy code 314000000X, which categorizes healthcare providers based on their areas of practice.
When did the Hazel Street Nursing Association receive its 1104814383?
The Hazel Street Nursing Association was issued its 1104814383 on 2005-10-11, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Hazel Street Nursing Association most recently updated or revised?
The information pertaining to Hazel Street Nursing Association, including its address, specialty, and other relevant details, was last updated or revised on 2013-07-12.
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