MEDICARE: CHAMBERS NURSING HOME CENTER, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	101	AR

General Provider Information

NPI Number	:	1588633200
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHAMBERS NURSING HOME CENTER, INC

Provider Business Mailing Address
First Line	:	PO BOX 1126
Second Line	:
City	:	CARLISLE
State	:	AR
Zip	:	72024-1126
Country	:	US
Telephone Number	:	870-552-7150
Fax Number	:	870-552-7601

Provider Business Practice Location Address
First Line	:	1001 EAST PARK STREET
Second Line	:
City	:	CARLISLE
State	:	AR
Zip	:	72024
Country	:	US
Telephone Number	:	870-552-7150
Fax Number	:	870-552-7601

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. LEE GLOVER
Credential	:
Telephone Number	:	870-552-7150

Provider Enumeration Date	:	03/15/2006
Last Update Date	:	08/22/2020

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