Provider Demographics
NPI:1568970820
Name:VVR HEALTHCARE OPERATIONS, LLC
Entity Type:Organization
Organization Name:VVR HEALTHCARE OPERATIONS, LLC
Other - Org Name:THE VILLAGE AT VALLEY RANCH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JOEY
Authorized Official - Middle Name:
Authorized Official - Last Name:WIGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-412-5961
Mailing Address - Street 1:PO BOX 8248
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72145-8248
Mailing Address - Country:US
Mailing Address - Phone:501-412-5961
Mailing Address - Fax:
Practice Address - Street 1:6411 VALLEY RANCH DR
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72223-4543
Practice Address - Country:US
Practice Address - Phone:501-868-8857
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-19
Last Update Date:2020-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility