Healthcare Provider Details

I. General information

NPI: 1588633200
Provider Name (Legal Business Name): CHAMBERS NURSING HOME CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 EAST PARK STREET
CARLISLE AR
72024
US

IV. Provider business mailing address

PO BOX 1126
CARLISLE AR
72024-1126
US

V. Phone/Fax

Practice location:
  • Phone: 870-552-7150
  • Fax: 870-552-7601
Mailing address:
  • Phone: 870-552-7150
  • Fax: 870-552-7601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number101
License Number StateAR

VIII. Authorized Official

Name: MR. LEE GLOVER
Title or Position: ADMINISTRATOR
Credential:
Phone: 870-552-7150