Green Acre Lodge Of Holiday Island

LBN: Holiday Island Operations, Llc
Green Acre Lodge Of Holiday Island is an health care organization with primary practice located at 89 Hillside Drive , Holiday Island AR 72631. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Holiday Island Operations, Llc can be contacted via phone (479) 253-6553, or through Moss, Raymond Dennington via phone (479) 530-3779.

Contact Information

Primary practice address
89 Hillside Drive Holiday Island AR 72631
Phone: (479) 253-6553
Fax: (479) 253-5043
Website:
Map and Directions
Authorized official contact:
Name: Moss, Raymond Dennington
Phone: (479) 530-3779

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 105 Arkansas

Profile Details

NPI number 1427444124
LBN Legal business name Holiday Island Operations, Llc
DBA Doing business as Green Acre Lodge Of Holiday Island
Authorized official Moss, Raymond Dennington
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2015
Last updated Apr 9th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427444124 NPPES
Arkansas MEDICAID 206460794

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